Individual provider Active NPI

Mary Rosalind Thornton-Bowmer, DNP, CRNP, FNP-BC

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1184747776
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP009389 Issued in PA
Practice address
7131 Rising Sun Ave
Philadelphia, PA 19111-3924
Phone
(267) 619-7778
NPI assigned
Apr 9, 2007
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN516639L PA
Family Nurse Practitioner 363LF0000X SP009389 PA Primary

Addresses

Primary practice location

7131 Rising Sun Ave
Philadelphia, PA 19111-3924

Mailing address

7131 Rising Sun Ave
Philadelphia, PA 19111-3924
Phone (267) 619-7778

Other practice location 1

2602 Cottman Ave
Philadelphia, PA 19149-1301
Phone (267) 619-7778

Other practice location 2

4700 Wissahickon Ave
Suite 119
Philadelphia, PA 19144-4248
Phone (215) 843-9720

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
I20070501000485 PA Practitioner - Nurse Practitioner 0244336634 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN516639LPAMDFamily Nurse Practitioner
SP009389PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Peace Health and Wellness LLC CurrentSince Apr 23, 2026 Accepting new patients
Family Practice & Counseling Services Network, Inc. Past Accepting new patients

Locations

2602 Cottman Ave
Philadelphia, PA 19149
Phone (267) 619-7778

Interoperability endpoints

  • Direct secure messaging: mary.thornton-bowmer.1@25652.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1184747776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 RISING SUN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113924",
            "telephone_number": "267-619-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 RISING SUN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113924",
            "telephone_number": "267-619-7778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Cottman Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191491301",
            "country_code": "US",
            "telephone_number": "267-619-7778",
            "fax_number": "215-318-2219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Wissahickon Ave",
            "address_2": "Suite 119",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191444248",
            "country_code": "US",
            "telephone_number": "215-843-9720",
            "fax_number": "215-843-7313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNTON-BOWMER",
        "first_name": "MARY",
        "middle_name": "ROSALIND",
        "name_prefix": "Dr.",
        "credential": "DNP, CRNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "RN516639L",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.