Individual provider Active NPI

Kayla Marie Bowers

  • Family Nurse Practitioner
  • Starbuck, MN
National Provider Identifier
1205210267
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP 3983 Issued in MN
Practice address
501 Poler St
Starbuck, MN 56381-2456
Phone
(320) 230-3939
NPI assigned
Jul 18, 2015
Last updated
Nov 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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 CNP 3983 MN Primary

Addresses

Primary practice location

501 Poler St
Starbuck, MN 56381-2456

Mailing address

400 E 1St St
Morris, MN 56267-1408
Phone (320) 589-1313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150821012833 MN Practitioner - Nurse Practitioner 1254646136 Reassigns benefits to 1 organization
I20230424001332 ND Practitioner - Nurse Practitioner 1254646136 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP 3983MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stevens Community Medical Center Inc CurrentSince Aug 3, 2015 Accepting new patients
Stevens Community Medical Center Inc. Current Accepting new patients
North Dakota State University CurrentSince Aug 19, 2024 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Aug 3, 2015 Accepting new patients
Starbuck Clinic PLLC Past Accepting new patients
Stevens Community Medical Center Inc Past Accepting new patients

Locations

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

501 Poler St
Starbuck, MN 56381
Phone (320) 239-3939

1707 Centennial Blvd
Fargo, ND 58102
Phone (701) 231-7331

Interoperability endpoints

  • Direct secure messaging: kbowers421256@direct.centracare.com

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, 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": "1437177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1205210267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 1ST ST",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671408",
            "telephone_number": "320-589-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 POLER ST",
            "city": "STARBUCK",
            "state": "MN",
            "postal_code": "563812456",
            "telephone_number": "320-230-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-18",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP 3983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starbuck, MN

Sources for this page

Verify at the official NPI Registry.