Individual provider Active NPI

Elizabeth A Bowers, FNP

  • Family Nurse Practitioner
  • Henrico, VA
National Provider Identifier
1497743926
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024165193 Issued in VA
Practice address
2422 University Park Blvd
Henrico, VA 23233-3602
Phone
(804) 554-1555
NPI assigned
Oct 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 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 0024165193 VA Primary

Addresses

Primary practice location

2422 University Park Blvd
Henrico, VA 23233-3602

Mailing address

2420 Maplewood Ave Ste G
Richmond, VA 23220-5700
Phone (804) 554-1555

Other identifiers 1

IdentifierTypeStateIssuer
010005167MedicaidVA

Other names 1

  • Elizabeth A Broderick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100811000195 VA Practitioner - Nurse Practitioner 1759415839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SNF LTC Partners of VirginiaGroup PAC ID 4789014150, 28 clinicians

Practice addresses (Care Compare)

1776 Cambridge Dr
Richmond, VA 23238-3203
Phone (804) 543-2120

Hospital & facility affiliations

  • At Home Care Home health agency, Mechanicsvlle, VA, CCN 497493
  • Commonwealth Home Care Home health agency, Richmond, VA, CCN 497703
  • Bayada Home Health Care - Yorktown Home health agency, Yorktown, VA, CCN 497607

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SNF LTC Partners of Virginia CurrentSince Oct 4, 2022 Accepting new patients

Locations

1776 Cambridge Dr
Richmond, VA 23238
Phone (804) 368-6474

13700 N Gayton Rd
Richmond, VA 23233
Phone (804) 360-1960

Organizations & group practices 1

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1497743926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 MAPLEWOOD AVE STE G",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232205700",
            "telephone_number": "804-554-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 UNIVERSITY PARK BLVD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232333602",
            "telephone_number": "804-554-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024165193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010005167",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BRODERICK",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.