Lisa Renee Bowers, APRN
Individual provider Active NPI Family Nurse Practitioner · Choteau, MT
NPI 1306120902 · NPPES record last updated Apr 5, 2024
Key facts
- NPI
- 1306120902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 212667 (MT)
- Practice address
- 915 4TH St NW
Choteau, MT 59422-9123 - Phone
- (406) 466-6085
- Fax
- (406) 466-2159
- NPI assigned
- Oct 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MT, MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230614002272 | MT | Practitioner - Nurse Practitioner | 4981071339 | Reassigns benefits to 1 organization |
| I20240610003813 | MS | Practitioner - Nurse Practitioner | 4981071339 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11021896 | FL | MD | Family Nurse Practitioner |
| 212667 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olive Branch Emergency Physicians LLC | Current |
Accepting new patients | |
| Benefis Hospitals Inc | Past | Accepting new patients |
Locations
4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000
Interoperability endpoints
- lbowers44778@mlh.direct-ci.com
- lbowers20657@benefishs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11021896 | FL | |
| Family Nurse Practitioner | 363LF0000X | 212667 | MT | Yes |
Addresses
Primary practice location
915 4TH St NW
Choteau, MT 59422-9123
Mailing address
915 4TH St NW
Choteau, MT 59422-9123
Phone (406) 466-6085
Other practice location 1
1204 Thomasville Cir
Lakeland, FL 33811-3409
Phone (863) 232-8378
Other practice location 2
2590 Healing Way
Wesley Chapel, FL 33543-5495
Phone (813) 333-1186
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lbowers20657@benefishs.direct-ci.com | Benefis Hospitals Inc |
Other providers in Choteau, MT
- Lucas McCann Allen
- Raymond Robert Antonsen
- Benefis Community Hospitals, Inc.
- Judy E Borland
- Christina Louise Borst
- Paul Richard Bradbury
- Karen Braseth
- Brian D. McCollom, O.D., Inc.
- Douglas K Casperson
- Choteau Activities Inc
All providers in Choteau, MT · Family Nurse Practitioner in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.