Individual provider Active NPI

Teresa Ann Bowers, APRN- FNP

  • Family Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1255744223
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18802 Issued in SC
Practice address
1425 Dunn Ave
Daytona Beach, FL 32114-1437
Phone
(386) 323-9600
Fax
(386) 323-9695
NPI assigned
Jun 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18802 SC Primary

Addresses

Primary practice location

1425 Dunn Ave
Daytona Beach, FL 32114-1437

Mailing address

1302 River St
Palatka, FL 32177-5042
Phone (386) 328-0108

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150928001435 FL Practitioner - Nurse Practitioner 6406075274 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1205 S Woodland Blvd
Suite 4
Deland, FL 32720-7464
Phone (386) 202-6025

216 Frederick St
Pierson, FL 32180-3024

216 N Frederick St
Pierson, FL 32180-3024
Phone (386) 202-6025

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ormond Medical Arts Family Practice LLC CurrentSince Aug 2, 2021 Accepting new patients
Northeast Florida Health Services Inc CurrentSince Aug 1, 2024 Accepting new patients
Rural Health Care, Inc. CurrentSince Jan 28, 2022 Accepting new patients
Northeast Florida Health Services, Inc. Current Accepting new patients
Rural Health Care Incorporated Current Accepting new patients
Conviva Medical Center Management LLC PastSince Aug 17, 2015 Accepting new patients
Metcare of Florida, Inc Past Accepting new patients

Locations

1455 Dunn Ave
Daytona Beach, FL 32114
Phone (386) 239-6198

1425 Dunn Ave
Daytona Beach, FL 32114
Phone (386) 239-6198

800 N Stone St
Deland, FL 32720
Phone (386) 601-5220

1205 S Woodland Blvd
Ste 4
Deland, FL 32720
Phone 3862026025 ext. 2705

1205 S Woodland Blvd
Ste 3
Deland, FL 32720

100 Commercial Dr
Keystone Hgts, FL 32656
Phone (352) 473-6595

77 W Granada Blvd
Ormond Beach, FL 32174
Phone (386) 677-0453

1302 River St
Palatka, FL 32177
Phone (386) 328-0108

216 Frederick St
Pierson, FL 32180
Phone (386) 749-9449

Interoperability endpoints

  • Direct secure messaging: teresa.bowers.p1@direct.azahealth.nextgenshare.com
  • Direct secure messaging: teresa.bowers.1@1579.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1579/brand/8/csg/141/fhir/r4
  • Direct secure messaging: teresa.bowers@nefhs.eclinicaldirectplus.com

Organizations & group practices 7

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": "1402185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1255744223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 RIVER ST",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321775042",
            "telephone_number": "386-328-0108",
            "fax_number": "386-325-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 DUNN AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141437",
            "telephone_number": "386-323-9600",
            "fax_number": "386-323-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "credential": "APRN- FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-08",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.