Active NPI
Collin Perry McDowell, NP
- Psychiatric/Mental Health Nurse Practitioner
- Boscobel, WI
National Provider Identifier
1417690785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 18582
- Practice address
- 205 Parker St
Boscobel, WI 53805-1642 - Phone
- (608) 375-4112
- NPI assigned
- Apr 15, 2022
- Last updated
- Sep 18, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 18582 | WI | Primary |
Addresses
Primary practice location
205 Parker St
Boscobel, WI 53805-1642
Mailing address
205 Parker St
Boscobel, WI 53805-1642
Phone (608) 375-4112
Other names 1
- Mr. Collin Perry McDowell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1125429 | WI | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Past | Accepting new patients | |
| Greenwich House | Past | Accepting new patients |
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.
-
dba Greenwich House MMTP
- Addiction (Substance Use Disorder) Counselor
- New York, NY
- NPI 1790410843
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1417690785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 PARKER ST",
"city": "BOSCOBEL",
"state": "WI",
"postal_code": "538051642",
"telephone_number": "608-375-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 PARKER ST",
"city": "BOSCOBEL",
"state": "WI",
"postal_code": "538051642",
"telephone_number": "608-375-4112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDOWELL",
"first_name": "COLLIN",
"middle_name": "PERRY",
"name_prefix": "Dr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-15",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "18582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COLLIN",
"last_name": "MCDOWELL",
"middle_name": "PERRY",
"prefix": "MR.",
"credential": "RN, PHN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boscobel, WI
- Lindsey Lund, PTA
- Judith C Lyness, NP
- Mariah M Mayne, RDH
- Jennifer K McClimon, CRNA
- Colleen L McCurry, M.D.
- Michael S. Mecikalski, D.D.S.
- Memorial Hospital of Boscobel (Boscobel Area Health Care)
- Memorial Hospital of Boscobel (Gundersen Boscobel Area Hospital and Clinics)
- Memorial Hospital of Boscobel
- Memorial Hospital of Boscobel (Boscobel Area Health Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.