Active NPI
Tia R Bowling, NP
- Family Nurse Practitioner
- Connersville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28168817A
- Practice address
- 450 Erie Ave
Connersville, IN 47331-3176 - Phone
- (765) 827-7890
- Fax
- (765) 825-6628
- NPI assigned
- Aug 27, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28168817A | IN | Primary |
Addresses
Primary practice location
450 Erie Ave
Connersville, IN 47331-3176
Mailing address
450 Erie Street
P.O. Box 929
Connersville, IN 47331
Phone (765) 827-7890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201185740 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131207000134 | IN | Practitioner - Nurse Practitioner | 2567699077 | Reassigns benefits to 5 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28168817A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fayette BHC LLC | Family | Current | Accepting new patients |
| Eventus Ecs - Kentucky, PLLC | Current | Accepting new patients | |
| Fayette BHC LLC | Current | Accepting new patients | |
| Eventus Ecs, Inc | Current | Accepting new patients | |
| Eventus Wholehealth Midwest Inc | Current | Accepting new patients | |
| Eventus WH Midwest Care, LLC | Current | Accepting new patients |
Locations
2100 Midway St
Columbus, IN 47201
Phone 3178181240225
3013 Virginia Ave
Connersville, IN 47331
Phone (765) 827-7890
450 Erie Ave
Connersville, IN 47331
Phone (765) 827-7890
3512 Stellhorn Rd
Fort Wayne, IN 46815
3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 218-3479
150 W Market St
Ste 400
Indianapolis, IN 46204
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Connersville, IN
- NPI 1669254546
Family, IN
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1073353496
-
- Psychiatric Residential Treatment Facility
- Connersville, IN
- NPI 1538932140
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fayette BHC LLC
Practice addresses (Care Compare)
3013 Virginia Ave
Connersville, IN 47331-2552
Phone (765) 827-7890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1407280449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 ERIE STREET",
"address_2": "P.O. BOX 929",
"city": "CONNERSVILLE",
"state": "IN",
"postal_code": "47331",
"telephone_number": "765-827-7890",
"fax_number": "765-825-6628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 ERIE AVE",
"city": "CONNERSVILLE",
"state": "IN",
"postal_code": "473313176",
"telephone_number": "765-827-7890",
"fax_number": "765-825-6628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLING",
"first_name": "TIA",
"middle_name": "R",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28168817A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201185740",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Connersville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.