Kristin Russell Bouwer, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11013948 Issued in FL

Practice address

8130 Lakewood Main St Ste 103
Lakewood Ranch, FL 34202-5068

Phone

(941) 499-2700

Fax

(941) 487-0474

NPI assigned

Jul 22, 2021

Last updated

Jul 22, 2021By the provider in NPPES

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

Other names 1

• Kristin Barbara Russell Former name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Accountable Inpatient MedicineGroup PAC ID 5597090274, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
• HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166

Merit-based Incentive Payment System (MIPS)

Final score

91.38 of 100Reported as group

Quality

87.5

Improvement activities

40

Cost

77.51

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Accountable Inpatient Medicine

  dba Aim

  • Internal Medicine Physician
  • Lakewood Ranch, FL
  • NPI 1659936870
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lakewood Ranch Medical Center

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1730179714
  Care Compare affiliation
• Sarasota Doctors Hospital Inc

  dba HCA Florida Sarasota Doctors Hospital

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1003862053
  Care Compare affiliation

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1750954202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 LAKEWOOD MAIN ST STE 103",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025068",
            "telephone_number": "941-499-2700",
            "fax_number": "941-487-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 LAKEWOOD MAIN ST STE 103",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025068",
            "telephone_number": "941-499-2700",
            "fax_number": "941-487-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUWER",
        "first_name": "KRISTIN",
        "middle_name": "RUSSELL",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11013948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "RUSSELL",
            "middle_name": "BARBARA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bernice Ann Borow, RD
• Suzanne L Borzio
• Cynthia Sue Bosch, ARNP
• Brittany Bosma
• Jensen Nicole Bouton, DMD
• Lauren Leann Boylan
• Kathleen Mary Boyle, DO
• Bradenton Best Life Counseling Center LLC
• John Bradford, LMT
• Elizabeth Bradstreet

• Family Nurse Practitioner in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.