NPIMap

Individual provider Active NPI

Carmen Bowers, APRN, CNP

  • Nurse Practitioner
  • Peninsula, OH
National Provider Identifier
1376162933
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.025927 Issued in OH
Practice address
4606 Pebble Creek CT
Peninsula, OH 44264-9468
Phone
(419) 564-7219
NPI assigned
Apr 14, 2020
Last updated
Apr 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.025927 OH Primary

Addresses

Primary practice location

4606 Pebble Creek CT
Peninsula, OH 44264-9468

Mailing address

4606 Pebble Creek CT
Peninsula, OH 44264-9468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200821001854 OH Practitioner - Nurse Practitioner 2769808690 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6115 Powers Blvd
Suite 204
Parma, OH 44129-5469
Phone (440) 743-8120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.97 of 100Reported as group
Quality
53.19
Improvement activities
40
Cost
86.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.025927OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
Parma Community General Hospital Association CurrentSince Jul 18, 2020 Accepting new patients
Parma Community General Hospital Association CurrentSince Jul 18, 2020 Accepting new patients
University Primary Care Practices Inc CurrentSince Nov 1, 2024 Accepting new patients
Cottle Pathology Services, Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Nov 1, 2024 Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

6115 Powers Blvd
Ste 204
Parma, OH 44129
Phone (440) 743-2121

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

Interoperability endpoints

  • Direct secure messaging: cbowers28201@ehrdirect.uhhospitals.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1376162933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 PEBBLE CREEK CT",
            "city": "PENINSULA",
            "state": "OH",
            "postal_code": "442649468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 PEBBLE CREEK CT",
            "city": "PENINSULA",
            "state": "OH",
            "postal_code": "442649468",
            "telephone_number": "419-564-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "CARMEN",
        "name_prefix": "Ms.",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.025927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peninsula, OH

Sources for this page

Verify at the official NPI Registry.