NPIMap

Individual provider Active NPI

Shelby Taylor Bowerly, DNP, APRN, FNP-C

  • Primary Care Nurse Practitioner
  • White Salmon, WA
National Provider Identifier
1396343992
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
61478070 Issued in WA
Practice address
65371 Highway 14
White Salmon, WA 98672-8690
Phone
(509) 493-2133
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 10014247 OR
Primary Care Nurse Practitioner 363LP2300X 61478070 WA Primary

Addresses

Primary practice location

65371 Highway 14
White Salmon, WA 98672-8690

Mailing address

65371 Highway 14
White Salmon, WA 98672-8690
Phone (509) 493-2133

Other names 1

  • Shelby Taylor Lawrence Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230830004064 OR Practitioner - Nurse Practitioner 7214390772 Reassigns benefits to 1 organization
I20250217002647 WA Practitioner - Nurse Practitioner 7214390772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Community HealthGroup PAC ID 6305759283, 51 clinicians

Practice addresses (Care Compare)

65371 Hwy 14
White Salmon, WA 98672-8690
Phone (509) 493-2133

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
62.39
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61478070WAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Lutheran Charities Current Accepting new patients
One Community Health Current Accepting new patients
One Community Health CurrentSince Dec 1, 2024 Accepting new patients
One Community Health CurrentSince Dec 1, 2024 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
One Community Health Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

849 Pacific Ave
Hood River, OR 97031
Phone (541) 386-6380

1111 N Roosevelt Dr
Ste 210
Seaside, OR 97138
Phone (503) 738-3002

875 SW Rock Creek Dr
Stevenson, WA 98648
Phone (509) 427-4212

Organizations & group practices 7

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 3

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": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1396343992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65371 HIGHWAY 14",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986728690",
            "telephone_number": "509-493-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65371 HIGHWAY 14",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986728690",
            "telephone_number": "509-493-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERLY",
        "first_name": "SHELBY",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "10014247",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "61478070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "LAWRENCE",
            "middle_name": "TAYLOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in White Salmon, WA

Sources for this page

Verify at the official NPI Registry.