Individual provider Active NPI

Jeffrey Ryan Bowen, ARNP

  • Family Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1760231971
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A179090 Issued in IA
Practice address
1227 E Rusholme St
Davenport, IA 52803-2459
Phone
(563) 421-1000
NPI assigned
May 20, 2024
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A179090 IA Primary
Emergency Medicine Physician 207P00000X A179090 IA

Addresses

Primary practice location

1227 E Rusholme St
Davenport, IA 52803-2459

Mailing address

220 E 37TH St Apt F8
Davenport, IA 52806-6036
Phone (641) 242-0033

Other practice location 1

1501 39th St
Fort Madison, IA 52627-3223
Phone (319) 774-7518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20240618003152 IA Practitioner - Nurse Practitioner 9931642998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Vituity-Iowa PLLCGroup PAC ID 3476909409, 29 clinicians
QV Urgent Care Ia PLLCGroup PAC ID 1052722147, 37 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Davenport, IA 52803-2459
Phone (563) 421-1000

1501 39TH St
Fort Madison, IA 52627-3223
Phone (319) 774-7518

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A179090IAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
QV Urgent Care Ia PLLC CurrentSince Jun 6, 2024 Accepting new patients
QV Urgent Care Ia PLLC CurrentSince Jun 6, 2024 Accepting new patients
Vituity-Iowa PLLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Vituity-Iowa PLLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
QV Urgent Care Ia PLLC Past Accepting new patients
QV Urgent Care Ia PLLC Past Accepting new patients
QV Urgent Care Ia PLLC Past Accepting new patients
QV Urgent Care Ia PLLC Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2140 53rd Ave
Bettendorf, IA 52722
Phone (563) 421-5700

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1501 39th St
Fort Madison, IA 52627
Phone (319) 376-1511

213 West St S
Grinnell, IA 50112
Phone (641) 519-0563

801 N Grand Ave
Mt Pleasant, IA 52641
Phone (319) 984-4775

1817 1st Ave E
Newton, IA 50208
Phone (641) 458-3055

312 W McLane St
Osceola, IA 50213
Phone (641) 658-9048

2489 Highway 92
Washington, IA 52353
Phone (319) 206-9383

Organizations & group practices 8

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.

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": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1760231971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E 37TH ST APT F8",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528066036",
            "telephone_number": "641-242-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032459",
            "telephone_number": "563-421-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 39th St",
            "address_purpose": "LOCATION",
            "city": "Fort Madison",
            "state": "IA",
            "postal_code": "526273223",
            "country_code": "US",
            "telephone_number": "319-774-7518",
            "fax_number": "319-382-2949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "JEFFREY",
        "middle_name": "RYAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A179090",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "A179090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.