Individual provider Active NPI

Dustin Michael Cowan, FNP-C

  • Family Nurse Practitioner
  • Bristol, PA
National Provider Identifier
1073300901
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP030242 Issued in PA
Practice address
200 Rittenhouse Cir BLDG 4
Bristol, PA 19007-1619
Phone
(859) 321-3173
NPI assigned
Apr 23, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP030242 PA Primary

Addresses

Primary practice location

200 Rittenhouse Cir BLDG 4
Bristol, PA 19007-1619

Mailing address

200 Rittenhouse Cir Ste 4
Bristol, PA 19007-1619
Phone (859) 321-3173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250513000931 PA Practitioner - Nurse Practitioner 4486172582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Clinical Services - PA LLCGroup PAC ID 0345695268, 7 clinicians

Practice addresses (Care Compare)

200 Rittenhouse Circle E Building
Suite 4
Bristol, PA 19007-1623
Phone (267) 225-1295

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Clinical Services - PA LLC CurrentSince May 1, 2025 Accepting new patients

Locations

200 Rittenhouse Cir
Ste 4
Bristol, PA 19007
Phone (267) 225-1295

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1073300901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RITTENHOUSE CIR STE 4",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190071619",
            "telephone_number": "859-321-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RITTENHOUSE CIR BLDG 4",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190071619",
            "telephone_number": "859-321-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "DUSTIN",
        "middle_name": "MICHAEL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, PA

Sources for this page

Verify at the official NPI Registry.