Carissa Bowie
Individual provider Active NPI Physician Assistant · Bondurant, IA
NPI 1205558384 · NPPES record last updated Feb 13, 2025
Key facts
- NPI
- 1205558384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1016 Westridge St SW
Bondurant, IA 50035-1507 - Phone
- (515) 577-4058
- NPI assigned
- Sep 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 83.65
- Promoting interoperability
- 78
- Improvement activities
- 40
- Cost
- 76.53
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230517001901 | IA | Practitioner - Physician Assistant | 5698131688 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118434 | IA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Iowa Hospital Corporation | Current |
Accepting new patients | |
| Central Iowa Hospital Corporation | Current |
Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Broadlawns Medical Center | Current |
Accepting new patients | |
| Central Iowa Hospital Corporation | Emergency Medicine | Past | Accepting new patients |
Locations
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200
700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120
1200 Pleasant St
Ste S228
Des Moines, IA 50309
1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926
1660 60th St
West Des Moines, IA 50266
Phone (515) 241-2250
Interoperability endpoints
- cbowie917059@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 118434 | IA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1016 Westridge St SW
Bondurant, IA 50035-1507
Mailing address
3390 NE 96TH St
Altoona, IA 50009-8717
Other providers in Bondurant, IA
- Bondurant Dermatology, PLC
- Bondurant Family Chiropractic, PC
- Bondurant Physical Therapy LLC
- Bondurant Psychiatry
- Bondurant-Farrar Community School
- Leslie Rose Brant
- City of Bondurant
- Anne Louise Clendenen
- Convergent Angle Counseling
- Kimberly M Cretsinger
All providers in Bondurant, IA · Physician Assistant in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.