Active NPI
Paige Nichole Bowen, FNP
- Family Nurse Practitioner
- Rogers, AR
National Provider Identifier
1164044228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 124201
- Practice address
- 1001 S 52ND St
Rogers, AR 72758-8610 - Phone
- (479) 207-7717
- NPI assigned
- May 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 124201 | AR | Primary |
Addresses
Primary practice location
1001 S 52ND St
Rogers, AR 72758-8610
Mailing address
7949 Fairway Dr
Rogers, AR 72756-8048
Phone (479) 207-7717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210303001819 | AR | Practitioner - Nurse Practitioner | 3476969221 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Totem Health PLLC | Current | Accepting new patients | |
| Laura T Bailey Aprn PLLC | Family | Past | Accepting new patients |
Locations
5320 W Sunset Ave
Ste 157
Springdale, AR 72762
Phone (479) 966-7331
5320 W Sunset Ave
Springdale, AR 72762
Organizations & group practices 2
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": "1589241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1164044228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7949 FAIRWAY DR",
"city": "ROGERS",
"state": "AR",
"postal_code": "727568048",
"telephone_number": "479-207-7717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S 52ND ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588610",
"telephone_number": "479-207-7717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "PAIGE",
"middle_name": "NICHOLE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-12",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "124201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.