Individual provider Active NPI

Madison Bowman, MSN, APRN, AGPCNP-C

  • Gerontology Nurse Practitioner
  • Lima, OH
National Provider Identifier
1255187969
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AG06240103 Issued in OH
Practice address
730 W Market St Ste 2K
Lima, OH 45801-4602
Phone
(419) 996-2714
NPI assigned
Apr 24, 2024
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AG06240103 OH Primary
Critical Care Medicine Registered Nurse 163WC0200X 507447 OH

Addresses

Primary practice location

730 W Market St Ste 2K
Lima, OH 45801-4602

Mailing address

10266 Kelly Rd
Wapakoneta, OH 45895-9405
Phone (419) 773-0326

Other practice location 1

3958 Brown Park Dr Ste D
Hilliard, OH 43026-1160
Phone (419) 773-3026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241202001303 OH Practitioner - Nurse Practitioner 8921533886 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians
Eventus Ecs, IncGroup PAC ID 2163969650, 243 clinicians
Mercy Health Physicians Lima Specialty Care LLCGroup PAC ID 7012332364, 254 clinicians

Practice addresses (Care Compare)

3958 Brown Park Dr
Suite D
Hilliard, OH 43026-1160
Phone (260) 483-9081

4400 Easton CMNS
Suite 125
Columbus, OH 43219-6223
Phone (855) 743-2247

730 W Market St
Suite 2K
Lima, OH 45801-4602
Phone (419) 996-2714

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
507447OHMDCritical Care Medicine Registered Nurse
AG06240103OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Ecs, Inc CurrentSince Dec 12, 2024 Accepting new patients
Extended Care Specialists, Inc CurrentSince Oct 1, 2024 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Nov 3, 2025 Accepting new patients
Eventus Ecs - Ohio LLC CurrentSince Oct 1, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (855) 679-2366

3958 Brown Park Dr
Ste D
Hilliard, OH 43026
Phone (512) 792-4402

730 W Market St
Ste 2K
Lima, OH 45801
Phone (419) 996-5852

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

Interoperability endpoints

  • Direct secure messaging: mbowman3061086@direct.bsmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1255187969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10266 KELLY RD",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458959405",
            "telephone_number": "419-773-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W MARKET ST STE 2K",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014602",
            "telephone_number": "419-996-2714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3958 Brown Park Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430261160",
            "country_code": "US",
            "telephone_number": "419-773-3026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "MADISON",
        "credential": "MSN, APRN, AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "AG06240103",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OH",
            "license": "507447",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.