Individual provider Active NPI

Catherine Eliska Cowan, ARNP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1154326577
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
533006 Issued in TX
Practice address
1001 12TH Ave Ste 160
Fort Worth, TX 76104-3926
Phone
(817) 336-1189
Fax
(817) 877-5665
NPI assigned
Jun 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 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 533006 TX Primary

Addresses

Primary practice location

1001 12TH Ave Ste 160
Fort Worth, TX 76104-3926

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other practice location 1

323 E Hawkins Pkwy Ste A
Longview, TX 75605-8162
Phone (903) 759-7200

Other practice location 2

1111 6th Ave # Level1
Des Moines, IA 50314-2610
Phone (515) 643-8735

Other identifiers 4

IdentifierTypeStateIssuer
162289602MedicaidTX
162289603MedicaidTX
162289605MedicaidTX
162289606MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20031111000164 TX Practitioner - Nurse Practitioner 0042123549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tuba City Regional Health Care CorporationGroup PAC ID 4284542531, 160 clinicians

Practice addresses (Care Compare)

167 Main St
Tcrhcc Mobile Medical Clinic
Tuba City, AZ 86045-0600
Phone (928) 283-2501

167 N Main St
Tuba City, AZ 86045-0600
Phone (928) 283-2094

P O Box
Suite 600
Tuba City, AZ 86045-0600

Hospital & facility affiliations

  • Tuba City Regional Health Care Corporation Hospital, Tuba City, AZ, CCN 030073

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Jan 26, 2026 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Feb 2, 2026 Accepting new patients
Lechee Health Facility CurrentSince Feb 2, 2026 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 26, 2026 Accepting new patients
Cancer Center Associates Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients

Locations

323 E Hawkins Pkwy
Ste A
Longview, TX 75605
Phone (903) 758-2746

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: ccowan4054771@direct.trinity-health.org

Organizations & group practices 7

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 1

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1154326577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE STE 160",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043926",
            "telephone_number": "817-336-1189",
            "fax_number": "817-877-5665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 E Hawkins Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756058162",
            "country_code": "US",
            "telephone_number": "903-759-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 6th Ave # Level1",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503142610",
            "country_code": "US",
            "telephone_number": "515-643-8735",
            "fax_number": "515-643-8741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COWAN",
        "first_name": "CATHERINE",
        "middle_name": "ELISKA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "533006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162289602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162289603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162289605",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162289606",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.