Active NPI
Elizabeth Marie Bowen, CPNP
- Pediatric Nurse Practitioner
- Fishers, IN
National Provider Identifier
1659923761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 71009144A
- Practice address
- 13914 Southeastern Pkwy Ste 300
Fishers, IN 46037-7126 - Phone
- (317) 415-9590
- Fax
- (317) 415-9596
- NPI assigned
- Jul 10, 2019
- Last updated
- Nov 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 71009144A | IN | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 28223836A | IN |
Addresses
Primary practice location
13914 Southeastern Pkwy Ste 300
Fishers, IN 46037-7126
Mailing address
13914 Southeastern Pkwy Ste 300
Fishers, IN 46037-7126
Phone (317) 415-9590
Other practice location 1
8220 Naab Rd Ste 101
Indianapolis, IN 46260-1933
Phone (317) 415-9590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Previously, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71009144A | IN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients | |
| Your Corner Pediatrics, LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- elizabeth.bowen.1@7598.direct.athenahealth.com
- elizabeth.bowen@438720752189444.direct.elationemr.com
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
dba Your Corner Pediatrics
- Pediatric Nurse Practitioner
- Indianapolis, IN
- NPI 1871368134
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1659923761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13914 SOUTHEASTERN PKWY STE 300",
"city": "FISHERS",
"state": "IN",
"postal_code": "460377126",
"telephone_number": "317-415-9590",
"fax_number": "317-415-9596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13914 SOUTHEASTERN PKWY STE 300",
"city": "FISHERS",
"state": "IN",
"postal_code": "460377126",
"telephone_number": "317-415-9590",
"fax_number": "317-415-9596"
}
],
"practiceLocations": [
{
"address_1": "8220 Naab Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462601933",
"country_code": "US",
"telephone_number": "317-415-9590",
"fax_number": "317-583-3098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWEN",
"first_name": "ELIZABETH",
"middle_name": "MARIE",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-10",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IN",
"license": "71009144A",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IN",
"license": "28223836A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.