Individual provider Active NPI

Melissa Rochelle Bowen, APRN

  • Gerontology Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1124454475
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
111585 Issued in NE
Practice address
4741 N 26TH St
Ste D
Lincoln, NE 68521-4707
Phone
(402) 474-0020
NPI assigned
Sep 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 111585 NE Primary

Addresses

Primary practice location

4741 N 26TH St
Ste D
Lincoln, NE 68521-4707

Mailing address

3760 B St
Lincoln, NE 68510-3532
Phone (402) 202-2723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20170317000580 NE Practitioner - Nurse Practitioner 9739464538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians
Anesthesia and Pain Services LLCGroup PAC ID 5597169409, 2 clinicians

Practice addresses (Care Compare)

2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111

8141 S 15TH St
Suite a
Lincoln, NE 68512-7801
Phone (402) 431-3333

Hospital & facility affiliations

  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Physician Network CurrentSince Aug 6, 2018 Accepting new patients
Anesthesia & Pain Services LLC CurrentSince Aug 1, 2021 Accepting new patients
Pathways to Compassion, LLC Past Accepting new patients

Locations

2300 S 16th St
Ste 400A
Lincoln, NE 68502

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

2300 S 16th St
Ste C
Lincoln, NE 68502

8141 S 15th St
Ste A
Lincoln, NE 68512
Phone (402) 431-3333

Interoperability endpoints

  • Direct secure messaging: lbowen86697@hisp.bryanhealth.org

Organizations & group practices 3

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 3

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": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1124454475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 B ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685103532",
            "telephone_number": "402-202-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 N 26TH ST",
            "address_2": "STE D",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214707",
            "telephone_number": "402-474-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "MELISSA",
        "middle_name": "ROCHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NE",
            "license": "111585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.