Individual provider Active NPI

Marc Bowers

  • Family Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1356789135
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704255931 Issued in MI
Practice address
4069 Lake Dr SE
Grand Rapids, MI 49546-8816
Phone
(616) 267-7469
NPI assigned
Jun 13, 2013
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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 4704255931 MI Primary

Addresses

Primary practice location

4069 Lake Dr SE
Grand Rapids, MI 49546-8816

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20131010001346 MI Practitioner - Nurse Practitioner 6103050927 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

100 Michigan St NE
Grand Rapids, MI 49503-2560

1295 S Linden Rd E
Flint, MI 48532-3498

130 Town Ctr Dr
Troy, MI 48084-1744

15101 W McNichols Rd
Detroit, MI 48235-3716

26935 Northwestern Hwy 115
Southfield, MI 48033

30 W Monroe St
Suite 1200
Chicago, IL 60603-2420

4055 Valley View LN
Suite 400
Dallas, TX 75244-5071

PO Box
Woonsocket, RI 02895-0784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704255931MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Health Management Group Current Accepting new patients
Elizabeth Lake Urgent Care PLLC CurrentSince Sep 17, 2018 Accepting new patients
Wellstreet Urgent Care of Michigan CurrentSince Jun 24, 2019 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 17, 2023 Accepting new patients
Washington Urgent Care, PLLC CurrentSince Dec 30, 2018 Accepting new patients
McLaren Health Management Group Current Accepting new patients
Royal Urgent Care, PLLC CurrentSince Sep 17, 2018 Accepting new patients
First Choice Urgent Care PC PastSince Sep 17, 2018 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Locations

1515 Cal Dr
Davison, MI 48423
Phone (810) 496-8640

4000 S Saginaw St
Flint, MI 48507
Phone (810) 396-5700

2632 S Rochester Rd
Unit 70747
Rochester Hills, MI 48307

2708 S Rochester Rd
Ste A
Rochester Hills, MI 48307
Phone (248) 309-3344

4080 Crooks Rd
Royal Oak, MI 48073
Phone (248) 280-1080

2078 E Big Beaver Rd
Troy, MI 48083
Phone (248) 855-4134

7701 26 Mile Rd
Washington, MI 48094
Phone (586) 935-4000

2446 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 309-3344

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: marc.bowers@mc-mi.direct.office.nextgen.com
  • Direct secure messaging: mbowers3412173@epic00.corewelldirect.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1356789135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4069 LAKE DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468816",
            "telephone_number": "616-267-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "MARC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704255931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.