Individual provider Active NPI

Samantha L Bowman

  • Physician Assistant
  • Dubuque, IA
National Provider Identifier
1104549385
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
150 Mercy Dr
Dubuque, IA 52001-7301
Phone
(563) 584-3480
Fax
(563) 584-3481
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

150 Mercy Dr
Dubuque, IA 52001-7301

Mailing address

150 Mercy Dr
Dubuque, IA 52001-7301
Phone (563) 584-3480

Other names 1

  • Samantha Redmond Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20240418003505 IA Practitioner - Physician Assistant 6406295757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates Clinic P CGroup PAC ID 3870491228, 228 clinicians
Mercy Medical Center-DubuqueGroup PAC ID 2668467168, 20 clinicians

Practice addresses (Care Compare)

1000 Langworthy St
Dubuque, IA 52001-7313
Phone (563) 584-4100

150 Mercy Dr
Mercyone Dubuque Cancer Center
Dubuque, IA 52001-7320
Phone (563) 589-8024

1500 Associates Dr
Dubuque, IA 52002-2201
Phone (563) 584-4100

208 N 12TH St
Bellevue, IA 52031-1931
Phone (563) 872-4008

250 Mercy Dr
Dubuque, IA 52001-7320
Phone (563) 589-8000

805 Johnson St SW
Cascade, IA 52033-8636
Phone (563) 852-7756

Hospital & facility affiliations

  • Mercyone Dubuque Medical Center Hospital, Dubuque, IA, CCN 160069
  • Guttenberg Municipal Hospital Hospital, Guttenberg, IA, CCN 161312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates Clinic P C CurrentSince Oct 1, 2025 Accepting new patients
Mercy Medical Center-Dubuque CurrentSince May 1, 2024 Accepting new patients

Locations

150 Mercy Dr
Dubuque, IA 52001
Phone (563) 584-3480

1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455

250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000

Interoperability endpoints

  • Direct secure messaging: sredmond4199177@direct.trinity-health.org

Organizations & group practices 5

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 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": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1104549385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MERCY DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017301",
            "telephone_number": "563-584-3480",
            "fax_number": "563-584-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MERCY DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017301",
            "telephone_number": "563-584-3480",
            "fax_number": "563-584-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "SAMANTHA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "REDMOND",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.