Individual provider Active NPI

Kelly Elisha R Bowen, NP

  • Family Nurse Practitioner
  • Rushville, NY
National Provider Identifier
1558728568
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340081 Issued in NY
Practice address
2 Rubin Dr
Rushville, NY 14544-9681
Phone
(585) 554-4400
Fax
(844) 683-9216
NPI assigned
Jan 21, 2016
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 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 F340081 NY Primary

Addresses

Primary practice location

2 Rubin Dr
Rushville, NY 14544-9681

Mailing address

2 Rubin Dr
Rushville, NY 14544-9681
Phone (585) 554-4400

Other practice location 1

196 North St
Geneva General Hospital, Hospitalist Dept.
Geneva, NY 14456-1651
Phone (315) 787-4303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160822002136 NY Practitioner - Nurse Practitioner 5092000612 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geneva General Hospital, IncGroup PAC ID 7810809407, shared by 5 NPIs, 88 clinicians
Mosaic Health, Inc.Group PAC ID 4385826585, 8 clinicians

Practice addresses (Care Compare)

196 N St
Geneva, NY 14456-1651
Phone (315) 787-4533

2 Rubin Dr
Rushville, NY 14544-9681
Phone (585) 554-4400

200 N St
Suite 102
Geneva, NY 14456-1561
Phone (315) 787-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.71 of 100Reported as group
Quality
85.42
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F340081NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Soldiers & Sailors Memorial Hospital CurrentSince Apr 1, 2017 Accepting new patients
Soldiers & Sailors Memorial Hospital Current Accepting new patients
Geneva General Hospital, Inc. Current Accepting new patients
Geneva General Hospital, Inc CurrentSince May 15, 2016 Accepting new patients
Rochester General Hospital CurrentSince Jun 1, 2017 Accepting new patients
Mosaic Health, Inc. CurrentSince Aug 4, 2025 Accepting new patients
Rochester General Hospital Current Accepting new patients
Geneva General Hospital, Inc Current Accepting new patients
Mosaic Health, Inc. CurrentSince Aug 4, 2025 Accepting new patients
Geneva General Hospital CurrentSince May 15, 2016 Accepting new patients
Rochester General Hospital CurrentSince Jun 1, 2017 Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Apr 1, 2017 Accepting new patients
Mosaic Health, Inc. Past Accepting new patients
Geneva General Hospital Inc. Past Accepting new patients

Locations

196 North St
Geneva, NY 14456
Phone (315) 787-4156

200 North St
Ste 102
Geneva, NY 14456
Phone (315) 787-5400

418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000

1 S Washington St
Ste 300
Rochester, NY 14614
Phone (585) 325-2280

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

2 Rubin Dr
Rushville, NY 14544
Phone (585) 554-4400

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1558728568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RUBIN DR",
            "city": "RUSHVILLE",
            "state": "NY",
            "postal_code": "145449681",
            "telephone_number": "585-554-4400",
            "fax_number": "844-683-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RUBIN DR",
            "city": "RUSHVILLE",
            "state": "NY",
            "postal_code": "145449681",
            "telephone_number": "585-554-4400",
            "fax_number": "844-683-9216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "196 North St",
            "address_2": "Geneva General Hospital, Hospitalist Dept.",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "144561651",
            "country_code": "US",
            "telephone_number": "315-787-4303",
            "fax_number": "315-787-4288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "KELLY",
        "middle_name": "ELISHA R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rushville, NY

Sources for this page

Verify at the official NPI Registry.