Active NPI
Lakeisha M Bowers, AGACNP-BC
- Acute Care Nurse Practitioner
- Dearborn, MI
National Provider Identifier
1245106319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 4704323184
- Practice address
- 5125 Heather Dr Apt 105
Dearborn, MI 48126-2872 - Phone
- (248) 388-3888
- NPI assigned
- Oct 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 4704323184 | MI | Primary |
Addresses
Primary practice location
5125 Heather Dr Apt 105
Dearborn, MI 48126-2872
Mailing address
5125 Heather Dr Apt 105
Dearborn, MI 48126-2872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
120 W 22ND St
Suite 200
Oak Brook, IL 60523-1563
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704323184 | MI | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1245106319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5125 HEATHER DR APT 105",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5125 HEATHER DR APT 105",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262872",
"telephone_number": "248-388-3888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "LAKEISHA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-15",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MI",
"license": "4704323184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.