Individual provider Active NPI

Kathryn Jean Bowis, PA-C

  • Medical Physician Assistant
  • Gaithersburg, MD
National Provider Identifier
1366826968
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0009884 Issued in MD
Practice address
800 S Frederick Ave Ste 204
Gaithersburg, MD 20877-4152
Phone
(240) 547-6464
NPI assigned
Jul 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0009884 MD Primary

Addresses

Primary practice location

800 S Frederick Ave Ste 204
Gaithersburg, MD 20877-4152

Mailing address

97 Thomas Johnson Dr Ste 200
Frederick, MD 21702-4374
Phone (240) 547-6464

Other practice location 1

97 Thomas Johnson Dr Ste 200
Frederick, MD 21702-4374
Phone (240) 547-6464

Other names 1

  • Ms. Kathryn Jean Wolf Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, DC, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170424001341 SC Practitioner - Physician Assistant 5890071021 Reassigns benefits to 2 organizations
I20250718002663 DC Practitioner - Physician Assistant 5890071021 Reassigns benefits to 1 organization
I20250721000380 MD Practitioner - Physician Assistant 5890071021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elite Spine and Pain LLCGroup PAC ID 3577949627, 6 clinicians

Practice addresses (Care Compare)

2075 Eagle Landing Blvd
N Charleston, SC 29406-4074
Phone (843) 789-1800

2145 Henry Tecklenburg Dr
Charleston, SC 29414-5894

300 Callen Blvd
Summerville, SC 29486-2809

800 S Frederick Ave
Suite 204
Gaithersburg, MD 20877-4152
Phone (301) 591-8261

97 Thomas Johnson Dr
Suite 200
Frederick, MD 21702-4374
Phone (240) 547-6464

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network CurrentSince Aug 29, 2022 Accepting new patients
Elite Spine & Pain LLC CurrentSince Oct 12, 2025 Accepting new patients
Pain Specialists of Charleston CurrentSince Jul 20, 2019 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Aug 29, 2022 Accepting new patients
Pain Specialists of Charleston PA CurrentSince Jul 20, 2019 Accepting new patients

Locations

97 Thomas Johnson Dr
Ste 200
Frederick, MD 21702
Phone (240) 547-6464

800 S Frederick Ave
Ste 204
Gaithersburg, MD 20877
Phone (240) 547-6464

8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

2695 Elms Plantation Blvd
Ste A
North Charleston, SC 29406
Phone (843) 818-1181

300 Callen Blvd
Ste 200
Summerville, SC 29486
Phone (843) 724-8823

Organizations & group practices 7

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 2

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": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1366826968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 THOMAS JOHNSON DR STE 200",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024374",
            "telephone_number": "240-547-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S FREDERICK AVE STE 204",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774152",
            "telephone_number": "240-547-6464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Thomas Johnson Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024374",
            "country_code": "US",
            "telephone_number": "240-547-6464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWIS",
        "first_name": "KATHRYN",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0009884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "WOLF",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.