Active NPI
Mary Elizabeth Bowman, ACNP-BC
- Acute Care Nurse Practitioner
- Glen Allen, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 0024169655
- Practice address
- 4212 Park Place CT
Glen Allen, VA 23060-3314 - Phone
- (804) 332-5950
- Fax
- (804) 728-1086
- NPI assigned
- Oct 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 0024169655 | VA | Primary |
Addresses
Primary practice location
4212 Park Place CT
Glen Allen, VA 23060-3314
Mailing address
4212 Park Place CT
Glen Allen, VA 23060-3314
Phone (804) 332-5950
Other practice location 1
1250 E Marshall St
Emergency Medicine
Richmond, VA 23298-5051
Phone (804) 828-0996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1250 E Marshall St
Richmond, VA 23219-5051
Phone (804) 828-9000
2505 Pocoshock PL
Suite 101
North Chesterfield, VA 23235-6356
Phone (804) 332-5950
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Current | Accepting new patients | |
| Virginia Center for Addiction Medicine | Current | Accepting new patients |
Locations
4212 Park Place Ct
Glen Allen, VA 23060
Phone (804) 332-5950
6760 Main St
Ste C
Gloucester, VA 23061
Phone (804) 332-5950
2208 Executive Dr
Ste E
Hampton, VA 23666
Phone (757) 826-7516
25 W Water St
Harrisonburg, VA 22801
Phone (540) 433-5431
95 Harris Rd
Bldg 6
Kilmarnock, VA 22482
Phone (804) 332-5950
2505 Pocoshock Pl
Ste 101
North Chesterfield, VA 23235
Phone (804) 332-5950
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990
501 N 2nd St
Richmond, VA 23219
Phone (804) 828-9452
289 Hospital Rd
Tappahannock, VA 22560
Phone (804) 332-5950
Organizations & group practices 2
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.
-
dba Master Center for Addiction Medicine
- Addiction Medicine (Internal Medicine) Physician
- Glen Allen, VA
- NPI 1477091247
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical College of Virginia Hospitals
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
-
dba VCU Medical Center
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1770869406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4212 PARK PLACE CT",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230603314",
"telephone_number": "804-332-5950",
"fax_number": "804-728-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4212 PARK PLACE CT",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230603314",
"telephone_number": "804-332-5950",
"fax_number": "804-728-1086"
}
],
"practiceLocations": [
{
"address_1": "1250 E Marshall St",
"address_2": "Emergency Medicine",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985051",
"country_code": "US",
"telephone_number": "804-828-0996",
"fax_number": "804-628-0368",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWMAN",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "ACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-26",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VA",
"license": "0024169655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.