Individual provider Active NPI

Patrick Seth Bowman, CRNA

  • Certified Registered Nurse Anesthetist
  • Bowling Green, KY
National Provider Identifier
1316283195
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3007830 Issued in KY
Practice address
1801 Ashley Cir
Bowling Green, KY 42104-3362
Phone
(859) 699-3659
NPI assigned
Dec 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 1117275 KY
Certified Registered Nurse Anesthetist 367500000X 3007830 KY Primary

Addresses

Primary practice location

1801 Ashley Cir
Bowling Green, KY 42104-3362

Mailing address

525 Aries CT
Bowling Green, KY 42101-5392
Phone (859) 699-3659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130507000346 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406093681 Reassigns benefits to 1 organization
I20240126002174 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406093681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Capital Anesthesia Solutions of Kentucky LLCGroup PAC ID 0446681548, 37 clinicians

Practice addresses (Care Compare)

305 Langdon St
Somerset, KY 42503-2750
Phone (606) 679-7441

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1117275KYMDCritical Care Medicine Registered Nurse
3007830KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Anesthesia Solutions of Kentucky LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 27, 2020 Accepting new patients
Capital Anesthesia Solutions of Missouri LLC CurrentSince Dec 23, 2023 Accepting new patients

Locations

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

301 Langdon St
Somerset, KY 42503
Phone (606) 678-9688

2620 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 686-4111

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

Organizations & group practices 2

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 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": "1356220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1316283195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ARIES CT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421015392",
            "telephone_number": "859-699-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 ASHLEY CIR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043362",
            "telephone_number": "859-699-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "PATRICK",
        "middle_name": "SETH",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-23",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "KY",
            "license": "1117275",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3007830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.