NPIMap

Individual provider Active NPI

Amber Lea Bowlin, MSN, APRN, NP-C

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1255018727
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024187604 Issued in VA
Practice address
2000 Wilkes Ridge Dr
Richmond, VA 23233-7632
Phone
(804) 877-4000
NPI assigned
Jun 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 0024187604 VA Primary

Addresses

Primary practice location

2000 Wilkes Ridge Dr
Richmond, VA 23233-7632

Mailing address

10740 Trents Bridge Rd
Chesterfield, VA 23838-4423
Phone (804) 647-4691

Other names 1

  • Amber Lea Bryan Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230906003929 VA Practitioner - Nurse Practitioner 8729442959 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity-Virginia Hospitalists PCGroup PAC ID 6507245131, 109 clinicians
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

13710 St Francis Blvd
Midlothian, VA 23114-3267
Phone (804) 594-7300

2000 Wilkes Ridge Dr
Richmond, VA 23233-7632
Phone (804) 877-4000

Hospital & facility affiliations

  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024187604VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Aug 1, 2023 Accepting new patients
Virginia Pac Services PC CurrentSince Sep 5, 2023 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
NV Pacs 2 LLC CurrentSince Sep 5, 2023 Accepting new patients
Vituity-Virginia Hospitalists PC CurrentSince Jun 1, 2024 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

15051 Harmony Hills Ln
Abingdon, VA 24211
Phone (276) 451-2590

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

1 Vantage Dr
Poquoson, VA 23662
Phone (757) 868-9660

2000 Wilkes Ridge Dr
Richmond, VA 23233
Phone (804) 342-4349

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Organizations & group practices 5

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 11

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": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1255018727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 TRENTS BRIDGE RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238384423",
            "telephone_number": "804-647-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WILKES RIDGE DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232337632",
            "telephone_number": "804-877-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLIN",
        "first_name": "AMBER",
        "middle_name": "LEA",
        "credential": "MSN, APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "BRYAN",
            "middle_name": "LEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.