Individual provider Active NPI

Mary Elizabeth Bowers, FNP

  • Nurse Practitioner
  • Shallotte, NC
National Provider Identifier
1073083119
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5011262 Issued in NC
Practice address
5145 Sellers Rd
Shallotte, NC 28470-3405
Phone
(910) 754-4441
Fax
(910) 754-5307
NPI assigned
Dec 2, 2018
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5011262 NC Primary
Family Nurse Practitioner 363LF0000X 5011262 NC

Addresses

Primary practice location

5145 Sellers Rd
Shallotte, NC 28470-3405

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

710 Sunset Blvd N Ste A
Sunset Beach, NC 28468-4340
Phone (910) 663-2273

Other practice location 2

805 S Madison St
Whiteville, NC 28472-4613
Phone (910) 663-2273

Other names 1

  • Mary Elizabeth Evans Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190212001892 NC Practitioner - Nurse Practitioner 6901144203 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians
Coastal Comprehensive Care PAGroup PAC ID 9436496536, 4 clinicians

Practice addresses (Care Compare)

10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone (704) 510-8000

5145 Sellers Rd
Shallotte, NC 28470-3405
Phone (910) 754-4441

710 Sunset Blvd N
Suite a
Sunset Beach, NC 28468-4340
Phone (910) 663-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Aug 29, 2025 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 29, 2025 Accepting new patients
Coastal Comprehensive Care PA Family CurrentSince Oct 25, 2024 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 29, 2025 Accepting new patients
Coastal Comprehensive Care PA Family CurrentSince Oct 25, 2024 Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients
Simpleclinic PLLC PastSince Apr 6, 2023 Accepting new patients
Recon Neurology & Psychiatry Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

512 Village Rd
Ste 205
Shallotte, NC 28470
Phone (910) 721-4230

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

710 Sunset Blvd N
Ste A
Sunset Beach, NC 28468
Phone (910) 575-3923

805 S Madison St
Whiteville, NC 28472
Phone (910) 316-4352

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCJCD
  • Direct secure messaging: mbowers1731184@direct.novanthealth.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1543708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1073083119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 SELLERS RD",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284703405",
            "telephone_number": "910-754-4441",
            "fax_number": "910-754-5307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Sunset Blvd N Ste A",
            "address_purpose": "LOCATION",
            "city": "Sunset Beach",
            "state": "NC",
            "postal_code": "284684340",
            "country_code": "US",
            "telephone_number": "910-663-2273",
            "fax_number": "910-663-4050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284724613",
            "country_code": "US",
            "telephone_number": "910-663-2273",
            "fax_number": "910-663-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-02",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011262",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "EVANS",
            "middle_name": "ELIZABETH",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shallotte, NC

Sources for this page

Verify at the official NPI Registry.