NPIMap

Individual provider Active NPI

John Wakon Fowler, M.D.

  • Family Medicine Physician
  • Pratt, KS
National Provider Identifier
1679577159
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0427026 Issued in 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
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0427026 KS Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050706000883 KS Practitioner - Family Practice 6507802089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 6709824535, 11 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0427026KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Family Practice LLC Family Medicine CurrentSince Aug 2, 1999 Accepting new patients
Emergency Services of Kansas, PA Family Medicine Past Accepting new patients
Pratt Family Practice LLC Past Accepting new patients
Americare at Grand Plains Skilled Nursing and Rehabilitation LLC Past Accepting new patients
Pratt Regional Medical Center Corporation 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

  • Direct secure messaging: john.fowler@prattfp.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pratt Regional Medical CenterPratt, KS, CCN 170027 Hospital Corporate Director Aug 13, 2009
Pratt Regional Medical CenterPratt, KS, CCN 17U027 Hospital Corporate Director Aug 13, 2009
Pratt Regional Medical Center Home Health AgencyPratt, KS, CCN 178000 Home health agency Corporate Director Aug 13, 2009
Pratt Family PracticePratt, KS, CCN 178987 Rural health clinic 5% Or Greater Direct Ownership Interest (25%)
Corporate Director (25%)		 Dec 31, 2021
Dec 31, 2021
Pratt Internal Medicine GroupPratt, KS, CCN 178583 Rural health clinic Operational/Managerial Control Jan 1, 2014

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 9

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1679577159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20351 SE 20TH AVE",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671248145",
            "telephone_number": "620-672-7422",
            "fax_number": "620-508-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WATSON ST STE 200",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671243092",
            "telephone_number": "620-672-7422",
            "fax_number": "620-508-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JOHN",
        "middle_name": "WAKON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0427026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pratt, KS

Sources for this page

Verify at the official NPI Registry.