John Wakon Fowler, M.D.
Individual provider Active NPI Family Medicine Physician · Pratt, KS
NPI 1679577159 · NPPES record last updated Jul 23, 2026
Key facts
- NPI
- 1679577159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0427026 (KS)
- Practice address
- 203 Watson St Ste 200
Pratt, KS 67124-3092 - Phone
- (620) 672-7422
- Fax
- (620) 508-6476
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 9
Owned or controlled facilities with NPI records 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pratt Family Practice LLC
Practice addresses (Care Compare)
203 Watson
Suite 200
Pratt, KS 67124-3092
Phone (620) 672-7422
203 Watson St
Suite 200
Pratt, KS 67124-3092
Hospital & facility affiliations
- Pratt Regional Medical Center HHA
- Interim Healthcare of Wichita
- Interim Healthcare of Wichita Inc (Hospice)
- Pratt Regional Medical Center
- Kiowa County Memorial Hospital
- Stafford County Hospital
- Hilltop Manor Nursing Center
- Grand Plains Skilled Nursing by Americare
- Pratt Health and Rehab
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Pratt Regional Medical Center |
Hospital | Corporate Director | Aug 13, 2009 |
| Pratt Regional Medical Center |
Hospital | Corporate Director | Aug 13, 2009 |
| Pratt Regional Medical Center Home Health Agency |
Home health agency | Corporate Director | Aug 13, 2009 |
| Pratt Family Practice |
Rural health clinic | 5% Or Greater Direct Ownership Interest (25%) Corporate Director (25%) |
Dec 31, 2021 Dec 31, 2021 |
| Pratt Internal Medicine Group |
Rural health clinic | Operational/Managerial Control | Jan 1, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050706000883 | KS | Practitioner - Family Practice | 6507802089 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0427026 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Family Practice LLC | Family Medicine | Current |
Accepting new patients |
| Pratt Family Practice LLC | Past | Accepting new patients | |
| Pratt Regional Medical Center Corporation | Past | Accepting new patients | |
| Americare at Grand Plains Skilled Nursing and Rehabilitation LLC | Past | Accepting new patients | |
| Emergency Services of Kansas, PA | Family Medicine | Past | Accepting new patients |
| Americare at Hilltop Manor Nursing Center LLC | Past | Accepting new patients |
Locations
203 Watson St
Ste 200
Pratt, KS 67124
Phone (620) 672-7422
Interoperability endpoints
- john.fowler@prattfp.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0427026 | KS | Yes |
Addresses
Primary practice location
203 Watson St Ste 200
Pratt, KS 67124-3092
Mailing address
20351 SE 20TH Ave
Pratt, KS 67124-8145
Phone (620) 672-7422
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100297620D | Medicaid | KS |
Other providers in Pratt, KS
- Brooke Danae Fischer
- Celina Fisher
- Darwin Robert Fisher
- Forssberg Physical Therapy LLC
- Brandon Paul Forssberg
- Alice M Fox
- Toni Frederick
- Kelli Gallagher
- Heather Michelle Galle
- Yadira Garcia Pedroza
All providers in Pratt, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.