Active NPI
Patricia Ann Bowman
- Family Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9277264
- Practice address
- 4280 Southside Blvd
Jacksonville, FL 32216-5400 - Phone
- (866) 389-2727
- NPI assigned
- Nov 26, 2013
- Last updated
- Sep 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9277264 | FL | Primary |
Addresses
Primary practice location
4280 Southside Blvd
Jacksonville, FL 32216-5400
Mailing address
4280 Southside Blvd
Jacksonville, FL 32216-5400
Phone (866) 389-2727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010406700 | Medicaid | FL |
Other names 1
- Patricia Ann Thrapp
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 CVS Dr
Woonsocket, RI 02895-6146
1 CVS Drive- MC
Suite 3040
Woonsocket, RI 02895-6146
1 Old Kings Rd
Palm Coast, FL 32137-4613
Phone (866) 389-2727
121 W Macclenny Ave
Macclenny, FL 32063-2029
Phone (866) 389-2727
2703 N Ponce de Leon Blvd
Saint Augustine, FL 32084-2603
Phone (866) 389-2727
430 State Rd
Suite 13
Jacksonville, FL 32259-2835
Phone (866) 389-2727
7599 W Sand Lake Rd
Orlando, FL 32819-5109
Phone (866) 389-2727
906 Blanding Blvd
Orange Park, FL 32065-6206
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9277264 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Family | Current | Accepting new patients |
Locations
4280 Southside Blvd
Jacksonville, FL 32216
Phone (904) 998-3677
50 Duval Station Rd
Jacksonville, FL 32218
Phone (904) 751-4600
121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380
12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 495-3113
8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840
7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 1
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": "1385424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630713600000",
"number": "1730519885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4280 SOUTHSIDE BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322165400",
"telephone_number": "866-389-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4280 SOUTHSIDE BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322165400",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "PATRICIA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-26",
"last_updated": "2021-09-04",
"certification_date": "2021-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9277264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010406700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "THRAPP",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.