BLUEGRASS MED CARE
NPI 1861118895
Clinic/Center - Primary Care in Bowling Green, KY

Active since October 12, 2022
4863 SCOTTSVILLE RD STE B, BOWLING GREEN, KY 42104(270) 843-5662(270) 843-5614 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bluegrass Med Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUEGRASS MED CARE (NPI 1861118895) is a healthcare organization registered as a primary care in Bowling Green, Kentucky and active in the NPI registry since October 2022. The organization lists Elizabeth Lanham, Owner, as its authorized official.

NPPES Registry Identity

NPI1861118895
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBLUEGRASS MED CARE
Location Address4863 SCOTTSVILLE RD STE BBowling Green, KY 42104-7949
Mailing Address4863 Scottsville Rd Ste BBowling Green, KY 42104-7949 · (270) 843-5662 · Fax (270) 843-5614
Fax(270) 843-5614
Organization SubpartNo
Authorized OfficialElizabeth LanhamOwner · (270) 843-5662
Enumeration DateOctober 12, 2022
NPPES CertifiedOctober 12, 2022
✔ NPI 1861118895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4863 SCOTTSVILLE RD STE B, Bowling Green, KY 42104

Other Identifiers 3

Medicaid7100796090KY
Medicaid64250715KY
Medicaid7100561960KY

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bluegrass Med Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Bluegrass Med Care, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1417601444
4863 SCOTTSVILLE RD STE B
Bowling Green, KY 42104
(270) 843-5662
✔ PECOSSame address
Internal Medicine
NPI 1851354401
4863 SCOTTSVILLE RD STE B
Bowling Green, KY 42104
(270) 843-5662
✔ PECOSSame address
Nurse Practitioner
NPI 1932944121
4863 SCOTTSVILLE RD STE B
Bowling Green, KY 42104
(270) 843-5662
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bluegrass Med Care's NPI number?

The NPI number for Bluegrass Med Care is 1861118895. It was assigned to this organization in the NPPES registry on October 12, 2022.

Where is Bluegrass Med Care located?

Bluegrass Med Care is located at 4863 Scottsville Rd Ste B, Bowling Green, KY 42104. The listed phone number is (270) 843-5662.

What is Bluegrass Med Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Bluegrass Med Care enrolled in Medicare?

Yes. Bluegrass Med Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bluegrass Med Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Bluegrass Med Care, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bluegrass Med Care was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.