Individual provider Active NPI

Dustin Bower, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1568140283
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11027437 Issued in FL
Practice address
4427 Kings Barn CT
Fort Myers, FL 33916-8033
Phone
(239) 318-5809
NPI assigned
Jul 11, 2023
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11027437 FL Primary

Addresses

Primary practice location

4427 Kings Barn CT
Fort Myers, FL 33916-8033

Mailing address

4427 Kings Barn CT Unit 402
Fort Myers, FL 33916-8035

Other practice location 1

12811 Kenwood Ln Ste 202
Fort Myers, FL 33907-5646
Phone (239) 537-9646

Other practice location 2

27661 Cashford Cir Ste 101
Wesley Chapel, FL 33544-6976
Phone (813) 738-9636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230918000691 FL Practitioner - Nurse Practitioner 5597129080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Therapy Treatment Team LLCGroup PAC ID 0446594451, 22 clinicians

Practice addresses (Care Compare)

12811 Kenwood LN
Suite 202
Fort Myers, FL 33907-5646
Phone (239) 537-9646

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Treatment Team LLC CurrentSince Aug 8, 2023 Accepting new patients
Therapy Treatment Team LLC PastSince Aug 6, 2023 Accepting new patients

Locations

12811 Kenwood Ln
Ste 202
Fort Myers, FL 33907
Phone (239) 537-9646

27661 Cashford Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 544-5818

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": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1568140283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4427 KINGS BARN CT UNIT 402",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339168035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4427 KINGS BARN CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339168033",
            "telephone_number": "239-318-5809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12811 Kenwood Ln Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339075646",
            "country_code": "US",
            "telephone_number": "239-537-9646",
            "fax_number": "239-236-0866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27661 Cashford Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335446976",
            "country_code": "US",
            "telephone_number": "813-738-9636",
            "fax_number": "239-236-0866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWER",
        "first_name": "DUSTIN",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11027437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.