Individual provider Active NPI

Tia Marie Bowser, CRNP

  • Family Nurse Practitioner
  • Punxsutawney, PA
National Provider Identifier
1124570254
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016688 Issued in PA
Practice address
531 N Main St
Punxsutawney, PA 15767-2580
Phone
(814) 938-3977
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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 SP016688 PA Primary

Addresses

Primary practice location

531 N Main St
Punxsutawney, PA 15767-2580

Mailing address

191 Chickasaw Rd
Templeton, PA 16259-4011
Phone (814) 229-2343

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
I20161216000088 PA Practitioner - Nurse Practitioner 3870873474 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers Current Accepting new patients
Butler Medical Providers CurrentSince Apr 1, 2021 Accepting new patients
Butler Medical Providers CurrentSince Apr 1, 2021 Accepting new patients
Pallone Family Healthcare Family CurrentSince Sep 5, 2023 Accepting new patients
Butler Medical Providers Past Accepting new patients

Locations

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

30 Pinnacle Dr
Ste 301
Clarion, PA 16214
Phone (814) 226-1820

24 Doctors Ln
Ste 304
Clarion, PA 16214
Phone (814) 226-7800

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

531 N Main St
Punxsutawney, PA 15767
Phone (814) 938-3977

Interoperability endpoints

  • Direct secure messaging: tbowser@yourcarecommunity.org
  • Direct secure messaging: tia.bowser@direct-address.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1124570254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 CHICKASAW RD",
            "city": "TEMPLETON",
            "state": "PA",
            "postal_code": "162594011",
            "telephone_number": "814-229-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 N MAIN ST",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672580",
            "telephone_number": "814-938-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWSER",
        "first_name": "TIA",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

Verify at the official NPI Registry.