Individual provider Active NPI

Lisa Rosemary Bowles, FNP

  • Family Nurse Practitioner
  • Boulder, CO
National Provider Identifier
1659780351
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0991104-NP Issued in CO
Practice address
1650 28TH St Unit 1232
Boulder, CO 80301-1013
Phone
(503) 684-8252
NPI assigned
Aug 6, 2014
Last updated
Dec 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP15586 OH
Family Nurse Practitioner 363LF0000X APN.0991104-NP CO Primary

Addresses

Primary practice location

1650 28TH St Unit 1232
Boulder, CO 80301-1013

Mailing address

1650 28TH St Unit 1232
Boulder, CO 80301-1013
Phone (503) 684-8252

Other names 1

  • Miss Lisa Rosemary Wheeler Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20160511002569 CO Practitioner - Nurse Practitioner 8820387079 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salida Hospital DistrictGroup PAC ID 3577451152, shared by 9 NPIs, 100 clinicians

Practice addresses (Care Compare)

28374 County Rd
Suite 317
Buena Vista, CO 81211-9158
Phone (719) 395-9048

550 W US Hwy 50
Salida, CO 81201-2238
Phone (719) 530-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.69 of 100Reported as group
Quality
71.4
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0991104-NPCOMDFamily Nurse Practitioner
NP15586OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salida Hospital District CurrentSince Jun 1, 2022 Accepting new patients
Salida Hospital District CurrentSince Jun 1, 2022 Accepting new patients
The Little Clinic of Colorado, LLC Family CurrentSince Apr 21, 2016 Accepting new patients
Salida Hospital District Current Accepting new patients
Salida Hospital District Current Accepting new patients

Locations

7984 W Alameda Ave
Lakewood, CO 80226
Phone (303) 459-7105

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Interoperability endpoints

  • Direct secure messaging: nplbowles@hrrmcmedicalclinics.ssdirect.aprima.com

Organizations & group practices 5

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": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1659780351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 28TH ST UNIT 1232",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011013",
            "telephone_number": "503-684-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 28TH ST UNIT 1232",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011013",
            "telephone_number": "503-684-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "LISA",
        "middle_name": "ROSEMARY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP15586",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0991104-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WHEELER",
            "middle_name": "ROSEMARY",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.