NPIMap

Individual provider Active NPI

Nicole M Bowan, PA-C

  • Medical Physician Assistant
  • Wexford, PA
National Provider Identifier
1295731693
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
890 Issued in TN
Practice address
5500 Brooktree Rd
Ste 201
Wexford, PA 15090-9260
Phone
(724) 933-1420
Fax
(724) 933-1439
NPI assigned
Jun 22, 2005
Last updated
Mar 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 890 TN Primary

Addresses

Primary practice location

5500 Brooktree Rd
Ste 201
Wexford, PA 15090-9260

Mailing address

5500 Brooktree Rd
Ste 201
Wexford, PA 15090-9260
Phone (724) 933-1420

Other identifiers 1

IdentifierTypeStateIssuer
3374865MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090508000213 PA Practitioner - Physician Assistant 3779473103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

1 Hospital Way
Butler, PA 16001-4670

1 Hospital Way 4
Butler Infectious Disease Services
Butler, PA 16001-4670
Phone (724) 284-4309

104 Technology Dr
Butler, PA 16001-1801

127 Oneida Valley Rd
Suite 400
Butler, PA 16001-2251
Phone (833) 995-0118

24 Doctors LN
Clarion, PA 16214-8574

One Hospital Way 4TH Floor
BHS Women's Care Associates
Butler, PA 16001-4670
Phone (844) 765-2845

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Dec 30, 2021 Accepting new patients
Butler Medical Providers CurrentSince Aug 1, 2022 Accepting new patients
Butler Medical Providers CurrentSince Aug 1, 2022 Accepting new patients
Upmc Community Medicine Inc CurrentSince Dec 30, 2021 Accepting new patients
Chattanooga Gastroenterology, PC Past Accepting new patients
Butler Medical Providers Past Accepting new patients
Butler Medical Providers Past Accepting new patients
Chattanooga Rehabilitation Associates, PC Past Accepting new patients
Chattanooga Spine & Rehabilitation PLLC Past Accepting new patients

Locations

104 Technology Dr
Ste 202
Butler, PA 16001
Phone (724) 482-6062

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

5500 Brooktree Rd
Ste 201
Wexford, PA 15090
Phone (724) 933-1420

Interoperability endpoints

  • Direct secure messaging: nicole.bowan@direct-address.net

Organizations & group practices 10

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 12

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1295731693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 BROOKTREE RD",
            "address_2": "STE 201",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909260",
            "telephone_number": "724-933-1420",
            "fax_number": "724-933-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 BROOKTREE RD",
            "address_2": "STE 201",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909260",
            "telephone_number": "724-933-1420",
            "fax_number": "724-933-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWAN",
        "first_name": "NICOLE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3374865",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.