Individual provider Active NPI

Kelly Bowman, MSN, APRN, AGACNP-BC

  • Critical Care Medicine Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1386180354
Registry record updated Apr 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
MED-APRN-REG-0001701 Issued in MT
Practice address
1122 NE 13TH St
Oklahoma City, OK 73117-1039
Phone
(405) 271-4351
Fax
(405) 271-8695
NPI assigned
Jan 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X MED-APRN-REG-0001701 MT Primary
Acute Care Nurse Practitioner 363LA2100X AP132567 TX
Nurse Practitioner 363L00000X 71017897A IN
Critical Care Medicine Nurse Practitioner 363LC0200X 200458 OK

Addresses

Primary practice location

1122 NE 13TH St
Oklahoma City, OK 73117-1039

Mailing address

PO Box 26901
Oklahoma City, OK 73126-0901
Phone (405) 271-4351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI, MT, KY, VA, IA, IN7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20170224000636 TX Practitioner - Nurse Practitioner 2961786678 Reassigns benefits to 3 organizations
I20200403001371 WI Practitioner - Nurse Practitioner 2961786678 Reassigns benefits to 2 organizations
I20201120000919 MT Practitioner - Nurse Practitioner 2961786678 Reassigns benefits to 2 organizations
I20210928002213 KY Practitioner - Nurse Practitioner 2961786678 Reassigns benefits to 1 organization
I20241021002263 VA Practitioner - Nurse Practitioner 2961786678 Reassigns benefits to 2 organizations
I20241206002521 IA Practitioner - Nurse Practitioner 2961786678 Reassigns benefits to 3 organizations
I20260409000403 IN Practitioner - Nurse Practitioner 2961786678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Health Center IncGroup PAC ID 9638570740, shared by 8 NPIs, 52 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

1221 S Gear Ave
West Burlignton, IA 52655-1679
Phone (319) 768-1000

407 S White St
Mount Pleasant, IA 52641-2263
Phone (319) 385-3141

5445 Ave O
Fort Madison, IA 52627-9611
Phone (319) 376-2134

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-6005

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71017897AINMDNurse Practitioner
MED-APRN-REG-0001701MTMDCritical Care Medicine Nurse Practitioner
200458OKMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Health Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Billings Clinic CurrentSince Jul 10, 2025 Accepting new patients
Thedacare, Incorporated CurrentSince Apr 1, 2020 Accepting new patients
Sentara Medical Group CurrentSince Jan 1, 2026 Accepting new patients
CMSC, LLC CurrentSince Mar 6, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 27, 2018 Accepting new patients
Prohealth Medical Group Inc. CurrentSince May 1, 2023 Accepting new patients
Sound Physicians Intensivists of Virginia LLC Nurse Practitioner CurrentSince Jul 5, 2024 Accepting new patients
Lone Star Intensivists at Gulf Coast, PLLC CurrentSince Dec 1, 2024 Accepting new patients
Henry County Health Center Inc CurrentSince Dec 1, 2025 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Nov 1, 2024 Accepting new patients
North Texas Critical Care PA CurrentSince Nov 4, 2017 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 27, 2018 Accepting new patients
Cogent Healthcare of Kentucky, PSC Nurse Practitioner CurrentSince Aug 1, 2022 Accepting new patients
Prohealth Medical Group Inc CurrentSince May 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC CurrentSince Aug 1, 2022 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. Past Accepting new patients

Locations (25 of 29)

5445 Avenue O
Fort Madison, IA 52627
Phone (319) 372-6530

407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110

1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095

1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

2710 Swiss Ave
Dallas, TX 75204
Phone (214) 821-2303

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

600 Gresham Dr
#8600
Norfolk, VA 23507
Phone (757) 388-6005

844 Kempsville Rd
Ste 212
Norfolk, VA 23502
Phone (757) 261-5977

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

3 Neenah Ctr
#101N
Neenah, WI 54956

Organizations & group practices 18

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.

View all 18

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": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775952000000",
    "number": "1386180354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26901",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731260901",
            "telephone_number": "405-271-4351",
            "fax_number": "405-271-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 NE 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171039",
            "telephone_number": "405-271-4351",
            "fax_number": "405-271-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "KELLY",
        "credential": "MSN, APRN, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "MT",
            "license": "MED-APRN-REG-0001701",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP132567",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71017897A",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "OK",
            "license": "200458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.