Individual provider Active NPI

Cherico Marsha Bowman, NURSE PRACITIONER

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1740956416
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29969 Issued in TN
Practice address
1955 S 3Rd St
Memphis, TN 38109-7713
Phone
(901) 515-5800
Fax
(901) 515-5890
NPI assigned
Aug 21, 2021
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
Family Nurse Practitioner 363LF0000X 29969 TN Primary

Addresses

Primary practice location

1955 S 3Rd St
Memphis, TN 38109-7713

Mailing address

7087 Parkbrook LN
Cordova, TN 38018-7930
Phone (901) 238-0473

Other practice location 1

7087 Parkbrook Ln
Cordova, TN 38018-7930
Phone (901) 238-0473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20211116003300 TN Practitioner - Nurse Practitioner 7214326081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut Regional One Physicians IncGroup PAC ID 5698993418, 314 clinicians

Practice addresses (Care Compare)

1955 S 3Rd St
Memphis, TN 38109-7713
Phone (901) 515-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
64.58
Improvement activities
40
Cost
77.33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Regional One Physicians Inc CurrentSince Jun 1, 2022 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Jun 1, 2022 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Oct 3, 2021 Accepting new patients

Locations

1955 S 3rd St
Memphis, TN 38109
Phone (901) 515-5800

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

3109 Walnut Grove Rd
Memphis, TN 38111
Phone (901) 458-0162

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

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 1

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": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1740956416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7087 PARKBROOK LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187930",
            "telephone_number": "901-238-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 S 3RD ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381097713",
            "telephone_number": "901-515-5800",
            "fax_number": "901-515-5890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7087 Parkbrook Ln",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380187930",
            "country_code": "US",
            "telephone_number": "901-238-0473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "CHERICO",
        "middle_name": "MARSHA",
        "credential": "NURSE PRACITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-21",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.