Kayla Mary Bowe, ACNPC-AG
Individual provider Active NPI Nurse Practitioner · Eau Claire, WI
NPI 1043938640 · NPPES record last updated Sep 8, 2022
Key facts
- NPI
- 1043938640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 12154 (WI)
- Practice address
- 1400 Bellinger St
Eau Claire, WI 54703-5222 - Phone
- (715) 838-3311
- NPI assigned
- Aug 19, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mayo Clinic Health System-Northwest Wisconsin Region Inc
Practice addresses (Care Compare)
1400 Bellinger St
Eau Claire, WI 54703-5222
Phone (715) 838-5222
Hospital & facility affiliations
- Mayo Clinic Health System Eau Claire Hospital
- Mayo Clinic Health System Chippewa Valley
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221018000474 | WI | Practitioner - Nurse Practitioner | 6204202161 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12154 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current |
Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current |
Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients |
Locations
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1222 E Woodland Ave
Barron, WI 54812
Phone (715) 537-3166
1501 Thompson St
Bloomer, WI 54724
Phone (715) 568-2000
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311
2321 Stout Rd
Menomonie, WI 54751
Phone (715) 235-5531
13025 8th St
Osseo, WI 54758
Phone (715) 597-2575
Interoperability endpoints
- kcieslak113847@ehrdirect.mayoclinicmsg.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 12154 | WI | Yes |
Addresses
Primary practice location
1400 Bellinger St
Eau Claire, WI 54703-5222
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (715) 838-5222
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | KCIESLAK113847@EHRDIRECT.MAYOCLINICMSG.ORG |
Other providers in Eau Claire, WI
- Sara Boughton
- Karen Patricia Boutiette
- Kimberly M Bowden
- Carol Bowe
- Elizabeth Bowe
- Sara Bowe
- Christine Bowers
- Jordyn Bowker
- Daniel J Bowman
- Karen M Bowman
All providers in Eau Claire, WI · Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.