Individual provider Active NPI

Casey Ryan Bowles, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Olympia, WA
National Provider Identifier
1689916728
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO60653492 Issued in WA
Practice address
404 Black Hills LN SW Ste B
Olympia, WA 98502-8148
Phone
(360) 943-1400
Fax
(360) 943-0660
NPI assigned
Mar 26, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X PO60653492 WA Primary
Podiatrist 213E00000X PO60653492 WA

Addresses

Primary practice location

404 Black Hills LN SW Ste B
Olympia, WA 98502-8148

Mailing address

1610 Bishop Rd SW Ste 101
Tumwater, WA 98512-7303
Phone (360) 338-0004

Other practice location 1

3929 Bridgeport Way W Ste 308
University Place, WA 98466-4455
Phone (253) 272-2999

Other practice location 2

1220 W 1st St Ste B
Centralia, WA 98531-3018
Phone (360) 736-4151

Other practice location 3

1610 Bishop Rd SW
Suite 101
Tumwater, WA 98512-7303
Phone (360) 754-3338

Other practice location 4

5210 Corporate Center Ct SE Ste A
Lacey, WA 98503-5952
Phone (360) 764-8293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160816000193 WA Practitioner - Podiatry 7810281755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fasa Family Wellness PLLCGroup PAC ID 7618290297, 16 clinicians

Practice addresses (Care Compare)

1220 W 1St St
Suite B
Centralia, WA 98531-3018
Phone (360) 736-4151

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue292
Removal of skin lesions47
Removal of nail tissue1051
Removal or shaving of skin growth379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO60653492WAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fasa Family Wellness PLLC Podiatrist CurrentSince Aug 1, 2016 Accepting new patients
Fasa Family Wellness, PLLC Current Accepting new patients
Fasa Family Wellness, PLLC Podiatrist CurrentSince Aug 1, 2016 Accepting new patients

Locations

1220 W 1st St
#B
Centralia, WA 98531
Phone (360) 736-4151

5210 Corporate Center Ct SE
Ste A
Lacey, WA 98503
Phone (360) 754-3338

404 Black Hills Ln SW
Ste B
Olympia, WA 98502
Phone (360) 704-4745

1610 Bishop Rd SW
Ste 101
Tumwater, WA 98512
Phone (360) 754-3338

1610 Bishop Rd SW
Ste 7
Tumwater, WA 98512
Phone (360) 754-3338

1610 Bishop Rd SW
Tumwater, WA 98512
Phone (360) 754-3338

3929 Bridgeport Way W
Ste 308
University Place, WA 98466
Phone (253) 272-2999

Interoperability endpoints

  • Direct secure messaging: cbowles@usfas.emadirect.md
  • Direct secure messaging: drbowles@faasa-wa.direct.office.nextgen.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1689916728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 BISHOP RD SW STE 101",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127303",
            "telephone_number": "360-338-0004",
            "fax_number": "360-515-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 BLACK HILLS LN SW STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028148",
            "telephone_number": "360-943-1400",
            "fax_number": "360-943-0660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3929 Bridgeport Way W Ste 308",
            "address_purpose": "LOCATION",
            "city": "University Place",
            "state": "WA",
            "postal_code": "984664455",
            "country_code": "US",
            "telephone_number": "253-272-2999",
            "fax_number": "253-272-4699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 W 1st St Ste B",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985313018",
            "country_code": "US",
            "telephone_number": "360-736-4151",
            "fax_number": "360-736-4154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1610 Bishop Rd SW",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Tumwater",
            "state": "WA",
            "postal_code": "985127303",
            "country_code": "US",
            "telephone_number": "360-754-3338",
            "fax_number": "360-753-4861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5210 Corporate Center Ct SE Ste A",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985035952",
            "country_code": "US",
            "telephone_number": "360-764-8293",
            "fax_number": "360-706-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "CASEY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60653492",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO60653492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.