Traci Gail Bowermaster

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

Practice address

4607 North Road
Circle Pines, MN 55014

Phone

(763) 792-6000

NPI assigned

Mar 11, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Centennial School District

  • Local Education Agency (LEA)
  • Circle Pines, MN
  • NPI 1588727143
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1700733680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 NORTH ROAD",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "55014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 NORTH ROAD",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "55014",
            "telephone_number": "763-792-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERMASTER",
        "first_name": "TRACI",
        "middle_name": "GAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Bellows
• Neal Utter Benjamin, DDS
• Elizabeth Betterley
• Jill Bias, LMFT
• Pamela Alice Bordson
• Jacob Allen Burgoon
• Jenna L Calcaterra, RD
• Amy Kapaun Carlson
• Centennial Eye Care
• Centennial School District

• All providers in Circle Pines, MN
• School Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.