Individual provider Active NPI

Jessica Lee Bowman, NP-C

  • Family Nurse Practitioner
  • Dakota Dunes, SD
National Provider Identifier
1659780278
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
120249 Issued in IA
Practice address
101 Tower Rd
Suite 120
Dakota Dunes, SD 57049-5007
Phone
(605) 217-4320
Fax
(605) 217-2948
NPI assigned
Aug 7, 2014
Last updated
Aug 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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 120249 IA Primary

Addresses

Primary practice location

101 Tower Rd
Suite 120
Dakota Dunes, SD 57049-5007

Mailing address

101 Tower Rd
Suite 120
Dakota Dunes, SD 57049-5007
Phone (605) 217-4320

Other identifiers 1

IdentifierTypeStateIssuer
120249OtherIASTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SD, NE3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150506000534 IA Practitioner - Nurse Practitioner 7517286958 Reassigns benefits to 1 organization
I20150512001465 SD Practitioner - Nurse Practitioner 7517286958 Reassigns benefits to 1 organization
I20180717000584 NE Practitioner - Nurse Practitioner 7517286958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 Providence Rd
Wayne, NE 68787-1212
Phone (402) 375-7953

4301 Sergeant Rd
Suite 215
Sioux City, IA 51106-4710
Phone (605) 217-4320

714 Lincoln St NE
Le Mars, IA 51031-3314
Phone (712) 546-3350

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
120249IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Ear Nose and Throat Consultants and Hearing Services PLC CurrentSince Mar 24, 2015 Accepting new patients
Allergy, Asthma & Immunology Associates P.C. PastSince Aug 1, 2012 Accepting new patients

Locations

4301 Sergeant Rd
Ste 215
Sioux City, IA 51106
Phone (605) 217-4320

1200 Providence Rd
Wayne, NE 68787
Phone (402) 375-3800

101 Tower Rd
Ste 120
North Sioux City, SD 57049
Phone (605) 217-4320

600 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-4320

Interoperability endpoints

  • Direct secure messaging: jbowman239471@direct.unitypoint.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1659780278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TOWER RD",
            "address_2": "SUITE 120",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495007",
            "telephone_number": "605-217-4320",
            "fax_number": "605-217-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWER RD",
            "address_2": "SUITE 120",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495007",
            "telephone_number": "605-217-4320",
            "fax_number": "605-217-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "120249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "120249",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

Verify at the official NPI Registry.