Individual provider Active NPI

Lacy Bowman, APRN, FNP-C

  • Family Nurse Practitioner
  • Larned, KS
National Provider Identifier
1306656855
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-83957-091 Issued in KS
Practice address
713 W 11TH St
Larned, KS 67550-2055
Phone
(620) 804-6007
NPI assigned
Jan 8, 2025
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-83957-091 KS Primary
Registered Nurse 163W00000X 14-161411-091 KS

Addresses

Primary practice location

713 W 11TH St
Larned, KS 67550-2055

Mailing address

713 W 11TH St
Larned, KS 67550-2055
Phone (620) 804-6007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20250304000650 KS Practitioner - Nurse Practitioner 1557882891 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pawnee Valley Community Hospital IncGroup PAC ID 7315856473, shared by 5 NPIs, 11 clinicians

Practice addresses (Care Compare)

713 W 11TH St
Larned, KS 67550-2055
Phone (620) 804-6007

923 Carroll Ave
Larned, KS 67550-2429
Phone (620) 285-8698

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14-161411-091KSMDRegistered Nurse
53-83957-091KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Associates Current Accepting new patients
Pawnee Valley Community Hospital, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Pawnee Valley Community Hospital, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Pawnee Valley Community Hospital Inc CurrentSince Mar 1, 2025 Accepting new patients
St. Joseph Memorial Hospital, Inc. Past Accepting new patients

Locations

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

713 W 11th St
Larned, KS 67550
Phone (620) 285-6958

923 Carroll Ave
Larned, KS 67550
Phone (620) 285-3161

Organizations & group practices 5

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": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1306656855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 W 11TH ST",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675502055",
            "telephone_number": "620-804-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 W 11TH ST",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675502055",
            "telephone_number": "620-804-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "LACY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-83957-091",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-161411-091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larned, KS

Sources for this page

Verify at the official NPI Registry.