Individual provider Active NPI

Elizabeth Marie Bowen, CPNP

  • Pediatric Nurse Practitioner
  • Fishers, IN
National Provider Identifier
1659923761
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
71009144A Issued in IN
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
71009144AINMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
Your Corner Pediatrics, LLC Pediatrics PastSince Nov 19, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: elizabeth.bowen.1@7598.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.