Individual provider Active NPI

Fina Bowie, ANP, GNP

  • Adult Health Nurse Practitioner
  • Duncanville, TX
National Provider Identifier
1346428505
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
692038 Issued in TX
Practice address
550 N Main St Ste 207C
Duncanville, TX 75116-3660
Phone
(817) 909-6874
Fax
(817) 303-3373
NPI assigned
Feb 9, 2008
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 692038 TX Primary
Gerontology Nurse Practitioner 363LG0600X 692038 TX

Addresses

Primary practice location

550 N Main St Ste 207C
Duncanville, TX 75116-3660

Mailing address

550 N Main St Ste 207C
Duncanville, TX 75116-3660
Phone (817) 909-6874

Other names 1

  • Fina Modest Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20081122000169 TX Practitioner - Nurse Practitioner 4688734502 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

550 N Main St
Suite 207C
Duncanville, TX 75116-3660
Phone (817) 909-6874

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
692038TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
MDS Texas Medical PLLC CurrentSince Jun 1, 2025 Accepting new patients
Medical Director Services PC CurrentSince Jan 19, 2025 Accepting new patients

Locations

5607 Everhart Rd
Corpus Christi, TX 78411
Phone (361) 854-4601

301 S Park St
Granbury, TX 76048
Phone (817) 573-3726

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
KDB Hospice LLCDuncanville, TX, CCN 741772 Hospice 5% Or Greater Direct Ownership Interest (50%)
Corporate Officer (50%)
Corporate Director (50%)
W-2 Managing Employee (50%)
Operational/Managerial Control (50%)
Sep 15, 2017
Sep 15, 2017
Sep 15, 2017
Sep 15, 2017
Sep 15, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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": "1202515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1346428505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N MAIN ST STE 207C",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163660",
            "telephone_number": "817-909-6874",
            "fax_number": "817-303-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N MAIN ST STE 207C",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163660",
            "telephone_number": "817-909-6874",
            "fax_number": "817-303-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWIE",
        "first_name": "FINA",
        "credential": "ANP, GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-09",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "692038",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "692038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FINA",
            "last_name": "MODEST",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Duncanville, TX

Sources for this page

Verify at the official NPI Registry.