Active NPI
Amanda Rae Pero Bowen, FNP-C
- Family Nurse Practitioner
- East Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 338999
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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)
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
- Oneida Health Hospital
- Crouse Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22 633442 | NY | MD | Registered Nurse |
| 338999 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crouse Medical Practice, PLLC | Current | Accepting new patients | |
| Crouse Medical Practice PLLC | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Stony Brook Family and Preventive Medicine, University Faculty Practic | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | 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
- apero@crousemed.medentdirect.com
- 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.
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1922321934
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
- Family Medicine Physician
- Stony Brook, NY
- NPI 1982659470
-
- Physician Assistant
- East Syracuse, NY
- NPI 1386990638
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- Clinical Medical Laboratory
- Syracuse, NY
- NPI 1548579212
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- General Acute Care Hospital
- Oneida, NY
- NPI 1962408203
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.