Individual provider Active NPI

Stacea N Bowen, MD

  • Obstetrics & Gynecology Physician
  • Wellington, FL
National Provider Identifier
1215115852
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME107910 Issued in FL
Practice address
1395 S State Road 7
Suite 450
Wellington, FL 33414-9325
Phone
(561) 798-1233
Fax
(561) 798-1655
NPI assigned
Feb 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MT185830 PA
Obstetrics & Gynecology Physician 207V00000X ME107910 FL Primary

Addresses

Primary practice location

1395 S State Road 7
Suite 450
Wellington, FL 33414-9325

Mailing address

1395 S State Road 7
Suite 450
Wellington, FL 33414-9325
Phone (561) 798-1233

Other identifiers 1

IdentifierTypeStateIssuer
003286400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101102000828 FL Practitioner - Obstetrics/Gynecology 1850585985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York Downstate Medical Center, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Institute for Women's Health and Body LLCGroup PAC ID 2264752443, 49 clinicians

Practice addresses (Care Compare)

1395 S State Rd
7 Suite 450
Wellington, FL 33414-9328
Phone (561) 798-1233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
80
Promoting interoperability
99
Improvement activities
40
Cost
73.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT185830PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Women's Health and Body, LLC Obstetrics & Gynecology CurrentSince Mar 1, 2015 Accepting new patients
St Lucie Medical Specialists LLC Past Accepting new patients

Locations

8188 S Jog Rd
Ste 203
Boynton Beach, FL 33472
Phone (561) 740-1191

1395 S State Road 7
Ste 450
Wellington, FL 33414
Phone (561) 798-1233

560 Village Blvd
Ste 315
West Palm Beach, FL 33409
Phone (561) 616-9988

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: stacea.bowen@hca4.eclinicaldirectplus.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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1215115852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 S STATE ROAD 7",
            "address_2": "SUITE 450",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149325",
            "telephone_number": "561-798-1233",
            "fax_number": "561-798-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 S STATE ROAD 7",
            "address_2": "SUITE 450",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149325",
            "telephone_number": "561-798-1233",
            "fax_number": "561-798-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "STACEA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT185830",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME107910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003286400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.