Jason Randel Bowen, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R861662 Issued in MS

Practice address

1827C Simpson Highway 149
Mendenhall, MS 39114-3439

Phone

(601) 847-2224

Fax

(601) 847-2199

NPI assigned

Dec 28, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, TX2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jrbowen@direct.maniilaq.org

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.

• Simpson Community Healthcare, Inc.

  • Critical Access Hospital
  • Mendenhall, MS
  • NPI 1144339839
  Medicare reassignment NPD
• Maniilaq Association

  • Rural Acute Care Hospital
  • Kotzebue, AK
  • NPI 1861698805

  TX

  Medicare reassignment NPD
• Simpson Community Healthcare Inc.

  • Rural Health Clinic/Center
  • Mendenhall, MS
  • NPI 1619630001
  NPD
• Simpson Community Healthcare, Inc

  • Rural Health Clinic/Center
  • Mendenhall, MS
  • NPI 1609069962
  NPD
• Maniilaq Association

  • Critical Access Hospital
  • Kotzebue, AK
  • NPI 1316995210
  NPD
• Maniilaq Association

  • Community/Behavioral Health Agency
  • Kotzebue, AK
  • NPI 1821297276
  NPD
• Simpson Community Healthcare, Inc

  • Rural Health Clinic/Center
  • Florence, MS
  • NPI 1356427843
  NPD (past)
• Simpson Community Healthcare, Inc

  • Rural Health Clinic/Center
  • Brandon, MS
  • NPI 1841450483
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1306182035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 333",
            "city": "HARRISVILLE",
            "state": "MS",
            "postal_code": "390820333",
            "telephone_number": "601-847-2224",
            "fax_number": "601-847-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827C SIMPSON HIGHWAY 149",
            "city": "MENDENHALL",
            "state": "MS",
            "postal_code": "391143439",
            "telephone_number": "601-847-2224",
            "fax_number": "601-847-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "JASON",
        "middle_name": "RANDEL",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R861662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anointed Hands Care LLC
• Deirdre Atkins, FNP-C
• Available Pharmaceutical Services
• Bedford Care Center of Mendenhall, LLC
• Blue Dot Medical, Inc
• Meredith Brantley
• Rebecca Byrd Bridges
• Glenn A Brien Sr., DDS
• Sylvia Brister
• Jimmy Edward Brown, MS CAT

• Nurse Practitioner in Mendenhall, MS
• Providers in Mendenhall, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.