Individual provider Active NPI

Courtney Jean Bowman, APRN

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1386033801
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-76559 Issued in KS
Practice address
2622 W Central Ave Ste 101
Wichita, KS 67203
Phone
(316) 858-1111
Fax
(316) 946-5293
NPI assigned
Jan 21, 2015
Last updated
Oct 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-76559 KS Primary

Addresses

Primary practice location

2622 W Central Ave Ste 101
Wichita, KS 67203

Mailing address

2622 W Central Ave Ste 101
Wichita, KS 67203-4970
Phone (316) 858-1111

Other practice location 1

9350 E 35th St N Ste 101
Wichita, KS 67226-2022
Phone (316) 265-1308

Other practice location 2

9350 E 35th St N Ste 101
Wichita, KS 67226-2022
Phone (316) 265-1308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20230118000846 KS Practitioner - Nurse Practitioner 8325419906 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-76559KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Medical Group, LLC CurrentSince Oct 18, 2022 Accepting new patients

Locations

3161 N Rock Rd
Wichita, KS 67226
Phone (316) 440-2712

3161 N Rock Rd
Ste A
Wichita, KS 67226
Phone (316) 440-2712

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1386033801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 W CENTRAL AVE STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034970",
            "telephone_number": "316-858-1111",
            "fax_number": "316-946-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 W CENTRAL AVE STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67203",
            "telephone_number": "316-858-1111",
            "fax_number": "316-946-5293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9350 E 35th St N Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672262022",
            "country_code": "US",
            "telephone_number": "316-265-1308",
            "fax_number": "316-265-4480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9350 E 35th St N Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672262022",
            "country_code": "US",
            "telephone_number": "316-265-1308",
            "fax_number": "316-265-4480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "COURTNEY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-76559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.