Active NPI
Jennifer L. Bowerman, M.D.
- Internal Medicine Physician
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301096699
- Practice address
- 3537 West Front Street
Suite I
Traverse City, MI 49684-7943 - Phone
- (231) 935-8950
- Fax
- (231) 935-8868
- NPI assigned
- Jun 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A94104 | CA | |
| Internal Medicine Physician | 207R00000X | 4301096699 | MI | Primary |
Addresses
Primary practice location
3537 West Front Street
Suite I
Traverse City, MI 49684-7943
Mailing address
3537 West Front Street
Ste I
Traverse City, MI 49684-7943
Phone (231) 935-8950
Other names 1
- Jennifer Lynn Lessig
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Kentucky College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4110 Copper Ridge Dr
Suite 100
Traverse City, MI 49684-6721
Phone (231) 935-8950
Hospital & facility affiliations
- Munson Home Care
- Munson Medical Center
- Munson Healthcare Cadillac Hospital
- Paul Oliver Memorial Hospital
- Kalkaska Memorial Health Center
- Charlevoix Area Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A94104 | CA | MD | Internal Medicine Physician |
| 4301096699 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thirlby Clinic PLC | Internal Medicine | Current | Accepting new patients |
| Paul Oliver Memorial Hospital | Past | Accepting new patients | |
| Paul Oliver Memorial Hospital | Internal Medicine | Past | Accepting new patients |
| Paul Oliver Memorial Hospital | Past | Accepting new patients |
Locations
4110 Copper Ridge Dr
Ste 100
Traverse City, MI 49684
Phone (231) 935-8950
3537 W Front St
Ste I
Traverse City, MI 49684
Phone (231) 935-8929
3537 W Front St
Traverse City, MI 49684
Phone (231) 935-5880
3537 W Front St
Ste 1
Traverse City, MI 49684
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AEFHAA
- jennifer.bowerman@tbcl.eclinicaldirectplus.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Traverse City, MI
- NPI 1780676684
-
- Rural Health Clinic/Center
- Frankfort, MI
- NPI 1306471305
-
- Critical Access Hospital
- Frankfort, MI
- NPI 1427054360
-
- Emergency Medicine Physician
- Frankfort, MI
- NPI 1689840639
Internal Medicine
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Kalkaska, MI
- NPI 1497751309
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
-
- Critical Access Hospital
- Charlevoix, MI
- NPI 1346260692
-
- Home Health Agency
- Traverse City, MI
- NPI 1326002577
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
-
- Critical Access Hospital
- Frankfort, MI
- NPI 1427054360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1376748525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3537 WEST FRONT STREET",
"address_2": "STE I",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496847943",
"telephone_number": "231-935-8950",
"fax_number": "231-935-8868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3537 WEST FRONT STREET",
"address_2": "SUITE I",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496847943",
"telephone_number": "231-935-8950",
"fax_number": "231-935-8868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERMAN",
"first_name": "JENNIFER",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A94104",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301096699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "LESSIG",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.