Individual provider Active NPI

Breona' Chalese Bowen, FNP

  • Family Nurse Practitioner
  • Snow Hill, NC
National Provider Identifier
1396531844
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5022915 Issued in NC
Practice address
1106 Kingold Blvd
Snow Hill, NC 28580-1619
Phone
(252) 747-2921
Fax
(252) 221-5879
NPI assigned
Apr 18, 2025
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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 5022915 NC Primary

Addresses

Primary practice location

1106 Kingold Blvd
Snow Hill, NC 28580-1619

Mailing address

7 Professional Dr
Snow Hill, NC 28580-1332
Phone (252) 747-8162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260108001069 NC Practitioner - Nurse Practitioner 8921584095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1106 Kingold Blvd
Snow Hill, NC 28580-1619
Phone (252) 747-2921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greene County Health Care Incorporated Dba Contentnea Health CurrentSince Nov 18, 2025 Accepting new patients
Greene County Health Care Incorporated CurrentSince Nov 18, 2025 Accepting new patients

Locations

1106 Kingold Blvd
Snow Hill, NC 28580
Phone (252) 747-2921

140 School Dr
Snow Hill, NC 28580
Phone (252) 747-5841

7 Professional Dr
Snow Hill, NC 28580
Phone (252) 747-2921

Organizations & group practices 2

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": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1396531844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PROFESSIONAL DR",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801332",
            "telephone_number": "252-747-8162",
            "fax_number": "252-747-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 KINGOLD BLVD",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801619",
            "telephone_number": "252-747-2921",
            "fax_number": "252-221-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "BREONA'",
        "middle_name": "CHALESE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5022915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snow Hill, NC

Sources for this page

Verify at the official NPI Registry.