Individual provider Active NPI

Carol Elizabeth Bowen, RCNS

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Newton, MA
National Provider Identifier
1326059445
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
130826 Issued in MA
Practice address
10 Langley Rd
Newton, MA 02459-1972
Phone
(617) 964-8200
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 130826 MA Primary

Addresses

Primary practice location

10 Langley Rd
Newton, MA 02459-1972

Mailing address

1070 Brush Hill Rd
Milton, MA 02186-1218
Phone (617) 364-5362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20080828000010 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 3072692821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Yale University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bruce a Kaster MD PCGroup PAC ID 6103123781, 2 clinicians

Practice addresses (Care Compare)

109 Highland Ave
Suite 204
Needham, MA 02494-3021
Phone (617) 964-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
130826MAMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce a Kaster MD PC CurrentSince Jan 1, 2016 Accepting new patients
Bruce Kaster MD Past Accepting new patients

Locations

109 Highland Ave
Ste 204
Needham, MA 02494
Phone (617) 964-8200

60 Kendrick St
Needham Heights, MA 02494
Phone (339) 777-5446

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1326059445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 BRUSH HILL RD",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021861218",
            "telephone_number": "617-364-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LANGLEY RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024591972",
            "telephone_number": "617-964-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "CAROL",
        "middle_name": "ELIZABETH",
        "credential": "RCNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MA",
            "license": "130826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.