Active NPI
Angela J Bowman, NP
- Family Nurse Practitioner
- Kokomo, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71002212A
- Practice address
- 2401 Columbus Blvd
Kokomo, IN 46901-6455 - Phone
- (765) 453-1254
- Fax
- (765) 864-8732
- NPI assigned
- Nov 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71002212B | IN | |
| Family Nurse Practitioner | 363LF0000X | 71002212A | IN | Primary |
Addresses
Primary practice location
2401 Columbus Blvd
Kokomo, IN 46901-6455
Mailing address
6626 E 75TH St
Ste 500
Indianapolis, IN 46250-2805
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200842860 | Medicaid | IN | |
| P01832344 | Other | IN | RR PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abowman130765@eCommunityDirect.com | Community Physicians of Indiana Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090303000279 | IN | Practitioner - Nurse Practitioner | 8022174804 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2401 Columbus Blvd
Kokomo, IN 46901-6455
Phone (765) 453-1254
Hospital & facility affiliations
- Community Howard Regional Health Inc.
- Ascension St Vincent Kokomo
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002212B | IN | MD | Nurse Practitioner |
| 71002212A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Hope Recovery Kokomo, LLC | Current | Accepting new patients | |
| Restored Life Health Network | Current | Accepting new patients | |
| Hope Recovery Kokomo, LLC | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Union Healthcare Services Inc | Past | Accepting new patients | |
| The Little Clinic of Indiana LLC | Family | Past | Accepting new patients |
| House Calls Medical Solutions, LLC | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
3500 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0702
2401 Columbus Blvd
Kokomo, IN 46901
Phone (765) 236-0786
302 S Reed Rd
Kokomo, IN 46901
Phone (765) 450-4928
Interoperability endpoints
- abowman130765@ecommunitydirect.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Kokomo, IN
- NPI 1710587910
IN
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- Substance Abuse Rehabilitation Facility
- Kokomo, IN
- NPI 1457041774
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1306141874
-
- Home Health Agency
- Indianapolis, IN
- NPI 1013549468
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1902878994
Hospital
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1780625442
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1033280425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST",
"address_2": "STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 COLUMBUS BLVD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469016455",
"telephone_number": "765-453-1254",
"fax_number": "765-864-8732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "ANGELA",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71002212B",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71002212A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200842860",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR PTAN",
"identifier": "P01832344",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abowman130765@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Physicians of Indiana Inc",
"address_1": "2401 Columbus Blvd",
"city": "Kokomo",
"state": "IN",
"country_code": "US",
"postal_code": "469016455",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.