Individual provider Active NPI

Michele Marie Rowan, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Blue Springs, MO
National Provider Identifier
1730928466
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
2024019270 Issued in MO
Practice address
2200 SW Park Ave
Blue Springs, MO 64015-7639
Phone
(816) 277-8735
NPI assigned
May 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2024019270 MO Primary

Addresses

Primary practice location

2200 SW Park Ave
Blue Springs, MO 64015-7639

Mailing address

2200 SW Park Ave
Blue Springs, MO 64015-7639
Phone (816) 277-8735

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807001770 MO Practitioner - Nurse Practitioner 1557808649 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Global Wound Care Medical GroupGroup PAC ID 9335504539, 19 clinicians
Promed Preferred Mo P.C.Group PAC ID 5395239883, 2 clinicians

Practice addresses (Care Compare)

7777 Bonhomme Ave
Suite 1800
Clayton, MO 63105-1931
Phone (314) 668-8653

9433 Olive Blvd
Suite 100
Saint Louis, MO 63132-3132
Phone (845) 738-8770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Global Wound Care Medical Group CurrentSince Jul 1, 2024 Accepting new patients
Promed Preferred Mo P.C. CurrentSince Dec 1, 2025 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince Feb 2, 2026 Accepting new patients

Locations

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

222 E Dunklin St
Ste 102
Jefferson Cty, MO 65101

7777 Bonhomme Ave
Ste 1800
Saint Louis, MO 63105
Phone (314) 209-2800

9433 Olive Blvd
#100
Saint Louis, MO 63132
Phone (973) 557-3339

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1730928466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SW PARK AVE",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640157639",
            "telephone_number": "816-277-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SW PARK AVE",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640157639",
            "telephone_number": "816-277-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWAN",
        "first_name": "MICHELE",
        "middle_name": "MARIE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2024019270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.