Individual provider Active NPI

Sharon Ann Bowen

  • Family Health Clinical Nurse Specialist
  • Hollis, OK
National Provider Identifier
1376953943
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
112526 Issued in OK
Practice address
920 N 8TH St
Hollis, OK 73550-2026
Phone
(580) 688-2200
NPI assigned
May 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 112526 OK Primary

Addresses

Primary practice location

920 N 8TH St
Hollis, OK 73550-2026

Mailing address

920 N 8TH St
PO Box 431
Hollis, OK 73550-2026
Phone (580) 688-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20140620000805 OK Practitioner - Nurse Practitioner 3476777087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Akram R. Abraham, M.D.PCGroup PAC ID 5597753244, 3 clinicians

Practice addresses (Care Compare)

920 N 8TH St
Hollis, OK 73550-2026
Phone (580) 688-2200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Akram R. Abraham, M.D.PC CurrentSince May 7, 2014 Accepting new patients
Jackson County Memorial Hospital Authority Current Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

400 E Chestnut St
Hollis, OK 73550
Phone (580) 471-0971

920 N 8th St
Hollis, OK 73550
Phone (580) 688-2200

Interoperability endpoints

  • Direct secure messaging: himhmh@direct.jcmh.com

Organizations & group practices 3

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": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1376953943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N 8TH ST",
            "address_2": "PO BOX 431",
            "city": "HOLLIS",
            "state": "OK",
            "postal_code": "735502026",
            "telephone_number": "580-688-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N 8TH ST",
            "city": "HOLLIS",
            "state": "OK",
            "postal_code": "735502026",
            "telephone_number": "580-688-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "SHARON",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "OK",
            "license": "112526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollis, OK

Sources for this page

Verify at the official NPI Registry.