Individual provider Active NPI

Steven P Bowdel, P.A.

  • Physician Assistant
  • Arapahoe, WY
National Provider Identifier
1215019088
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
539 Issued in WY
Practice address
14 Great Plains Road
Arapahoe, WY 82510
Phone
(307) 856-9281
NPI assigned
Oct 20, 2006
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110002411 VA
Physician Assistant 363A00000X 539 WY Primary

Addresses

Primary practice location

14 Great Plains Road
Arapahoe, WY 82510

Mailing address

14 Great Plains Road
Arapahoe, WY 82510
Phone (307) 856-9281

Other identifiers 2

IdentifierTypeStateIssuer
010348617MedicaidVA
010348111MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, TX2 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
I20120410000175 WY Practitioner - Physician Assistant 8820190754 Reassigns benefits to 1 organization
I20171025002939 TX Practitioner - Physician Assistant 8820190754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Wind River Family and Community Healthc CareGroup PAC ID 1850683780, 42 clinicians

Practice addresses (Care Compare)

14 Great Plains Rd
Arapahoe, WY 82510-9144
Phone 3078569281119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
539WYMDCounselor
0110002411VAMDPhysician Assistant

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1215019088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GREAT PLAINS ROAD",
            "city": "ARAPAHOE",
            "state": "WY",
            "postal_code": "82510",
            "telephone_number": "307-856-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 GREAT PLAINS ROAD",
            "city": "ARAPAHOE",
            "state": "WY",
            "postal_code": "82510",
            "telephone_number": "307-856-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDEL",
        "first_name": "STEVEN",
        "middle_name": "P",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2021-08-10",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002411",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010348617",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010348111",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arapahoe, WY

Sources for this page

Verify at the official NPI Registry.