Individual provider Active NPI

Jeremy Bowman, MSN, APRN, FNP-BC

  • Nurse Practitioner
  • Terre Haute, IN
National Provider Identifier
1063170256
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71012882A Issued in IN
Practice address
1725 N 5TH St
Terre Haute, IN 47804-4010
Phone
(812) 242-3005
NPI assigned
Dec 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 28151320A IN
Nurse Practitioner 363L00000X 71012882A IN Primary

Addresses

Primary practice location

1725 N 5TH St
Terre Haute, IN 47804-4010

Mailing address

2124 E County Road 300 N
Sullivan, IN 47882-7408

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220825003998 IN Practitioner - Nurse Practitioner 0345624243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Associated Physicians Clinic, LLC 230 clinicians

Practice addresses (Care Compare)

1725 N 5TH St
Apands Clinic Bone and Joint Center
Terre Haute, IN 47804-4010
Phone (812) 242-3005

Hospital & facility affiliations

  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
  • Union Hospital Clinton Hospital, Clinton, IN, CCN 151326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28151320AINMDEmergency Registered Nurse
71012882AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Associated Physicians Clinic LLC CurrentSince Sep 6, 2022 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Sep 6, 2022 Accepting new patients

Locations

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

1725 N 5th St
Terre Haute, IN 47804
Phone (812) 232-6646

4601 S 7th St
Terre Haute, IN 47802
Phone (812) 232-3281

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

2133 S State Road 46
Terre Haute, IN 47803
Phone (812) 242-3737

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1063170256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 E COUNTY ROAD 300 N",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478827408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 N 5TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044010",
            "telephone_number": "812-242-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "JEREMY",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-04",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "IN",
            "license": "28151320A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71012882A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.