Individual provider Active NPI

Timothy L Bowman, CRNP

  • Family Nurse Practitioner
  • Stoystown, PA
National Provider Identifier
1760748669
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012027 Issued in PA
Practice address
4252 Ridge Rd
Stoystown, PA 15563-8723
Phone
(814) 442-0219
NPI assigned
Apr 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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 SP012027 PA Primary

Addresses

Primary practice location

4252 Ridge Rd
Stoystown, PA 15563-8723

Mailing address

4252 Ridge Rd
Stoystown, PA 15563-8723
Phone (814) 442-0219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120503000473 PA Practitioner - Nurse Practitioner 2668634890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alleghenies Independent Physicians PCGroup PAC ID 4082662978, 8 clinicians

Practice addresses (Care Compare)

336 Bloomfield St
Suite 201
Johnstown, PA 15904-3271
Phone (814) 535-7576

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Health Services, Inc. CurrentSince Mar 27, 2023 Accepting new patients
Somerset Health Services, Inc. CurrentSince Mar 27, 2023 Accepting new patients
Somerset Health Services Inc Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1404 Hay St
Berlin, PA 15530
Phone (814) 267-4212

426 Main St
Berlin, PA 15530
Phone (814) 267-4603

143 Woodstown Hwy
Hollsopple, PA 15935
Phone (814) 445-3575

Organizations & group practices 5

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": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1760748669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4252 RIDGE RD",
            "city": "STOYSTOWN",
            "state": "PA",
            "postal_code": "155638723",
            "telephone_number": "814-442-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4252 RIDGE RD",
            "city": "STOYSTOWN",
            "state": "PA",
            "postal_code": "155638723",
            "telephone_number": "814-442-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "TIMOTHY",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoystown, PA

Sources for this page

Verify at the official NPI Registry.