Individual provider Active NPI

Amanda Rae Pero Bowen, FNP-C

  • Family Nurse Practitioner
  • East Syracuse, NY
National Provider Identifier
1306151378
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338999 Issued in NY
Practice address
5000 Brittonfield Pkwy Ste B150
East Syracuse, NY 13057-9215
Phone
(315) 766-1627
Fax
(315) 201-8711
NPI assigned
Aug 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 22 633442 NY
Family Nurse Practitioner 363LF0000X 338999 NY Primary

Addresses

Primary practice location

5000 Brittonfield Pkwy Ste B150
East Syracuse, NY 13057-9215

Mailing address

1001 W Fayette St Ste 400
Syracuse, NY 13204-2866
Phone (315) 937-3433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160106002806 NY Practitioner - Nurse Practitioner 3274835392 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
Crouse Medical Practice PLLCGroup PAC ID 8426189622, 187 clinicians

Practice addresses (Care Compare)

739 Irving Ave
Suite 500
Syracuse, NY 13210-1664
Phone (315) 470-7409

Hospital & facility affiliations

  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241
  • Oneida Health Hospital Hospital, Oneida, NY, CCN 330115
  • Crouse Hospital Hospital, Syracuse, NY, CCN 330203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22 633442NYMDRegistered Nurse
338999NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Medical Practice, PLLC CurrentSince Feb 26, 2024 Accepting new patients
Crouse Medical Practice PLLC CurrentSince Feb 26, 2024 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Sep 19, 2022 Accepting new patients
Stony Brook Family and Preventive Medicine, University Faculty Practic CurrentSince Oct 21, 2019 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Sep 19, 2022 Accepting new patients
Crouse Medical Practice PLLC Past Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

4 Technology Dr
Ste 210
East Setauket, NY 11733
Phone (631) 331-1506

5000 Brittonfield Pkwy
Ste B150
East Syracuse, NY 13057
Phone (315) 766-1627

3344 Chambers Rd
Horseheads, NY 14845
Phone (607) 734-2264

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

739 Irving Ave
Ste 500
Syracuse, NY 13210
Phone (315) 453-4262

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

739 Irving Ave
Ste 200
Syracuse, NY 13210
Phone (315) 479-5070

Interoperability endpoints

  • Direct secure messaging: apero@crousemed.medentdirect.com
  • Direct secure messaging: apero181076@direct-guthrie.org

Organizations & group practices 6

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 3

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": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1306151378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W FAYETTE ST STE 400",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042866",
            "telephone_number": "315-937-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BRITTONFIELD PKWY STE B150",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579215",
            "telephone_number": "315-766-1627",
            "fax_number": "315-201-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERO BOWEN",
        "first_name": "AMANDA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22 633442",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.