Individual provider Active NPI

Amanda Bowman, NP-C

  • Family Nurse Practitioner
  • Ripley, WV
National Provider Identifier
1306482609
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
104779 Issued in WV
Practice address
146 Pinnell St Ste C
Ripley, WV 25271-9101
Phone
(304) 373-1537
Fax
(304) 974-3469
NPI assigned
Nov 21, 2019
Last updated
Dec 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 104779 WV Primary

Addresses

Primary practice location

146 Pinnell St Ste C
Ripley, WV 25271-9101

Mailing address

2414 Jefferson Ave
Point Pleasant, WV 25550-1528
Phone (304) 675-1244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 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

Enrollment IDStateProvider typePAC IDDetails
I20200304001685 WV Practitioner - Nurse Practitioner 1759718745 Reassigns benefits to 4 organizations
I20240520003897 OH Practitioner - Nurse Practitioner 1759718745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Racine Observation Medical Group, PLLCGroup PAC ID 1254601578, 19 clinicians
Allied West Virginia Emergency Physicians PLLCGroup PAC ID 8325326648, 7 clinicians

Practice addresses (Care Compare)

2900 1St Ave
Huntington, WV 25702-1241
Phone (304) 526-1234

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical Plus CurrentSince Apr 1, 2023 Accepting new patients
Allied West Virginia Emergency Physicians PLLC CurrentSince Nov 16, 2023 Accepting new patients
Valley Emergency Physicians Ohio LLC CurrentSince Apr 7, 2024 Accepting new patients
Racine Observation Medical Group, PLLC CurrentSince Dec 4, 2023 Accepting new patients
Matrix Medical Network of West CurrentSince Aug 1, 2022 Accepting new patients
Community Health Association Past Accepting new patients
Point Pleasant Physician Billing Services PastSince May 1, 2018 Accepting new patients
Community Health Association PastSince Jan 1, 2023 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1408 Campbell Dr
Ironton, OH 45638
Phone (740) 533-9710

209 Washington St W
Charleston, WV 25302
Phone 24852821166

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

Interoperability endpoints

  • Direct secure messaging: abowman344596@direct.wvuhsdirect.com

Organizations & group practices 8

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 1

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": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1306482609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 JEFFERSON AVE",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255501528",
            "telephone_number": "304-675-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 PINNELL ST STE C",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252719101",
            "telephone_number": "304-373-1537",
            "fax_number": "304-974-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "AMANDA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "104779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, WV

Sources for this page

Verify at the official NPI Registry.