Individual provider Active NPI

Jennifer L. Bowerman, M.D.

  • Internal Medicine Physician
  • Traverse City, MI
National Provider Identifier
1376748525
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301096699 Issued in MI
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

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117001198 MI Practitioner - Internal Medicine 4486735347 Reassigns benefits to 1 organization

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
Thirlby Clinic PLCGroup PAC ID 3274588116, 12 clinicians

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 Home health agency, Traverse City, MI, CCN 237025
  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097
  • Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081
  • Paul Oliver Memorial Hospital Hospital, Frankfort, MI, CCN 231300
  • Kalkaska Memorial Health Center Hospital, Kalkaska, MI, CCN 231301
  • Charlevoix Area Hospital Hospital, Charlevoix, MI, CCN 231322

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A94104CAMDInternal Medicine Physician
4301096699MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thirlby Clinic PLC Internal Medicine CurrentSince Aug 1, 2010 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEFHAA
  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.