Tracy M Fowler, APRN/PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

5376397 Issued in KS

Practice address

555 W 15TH St Ste a
Liberal, KS 67901-2461

Phone

(620) 624-0702

Fax

(620) 624-2513

NPI assigned

Jun 25, 2014

Last updated

Mar 6, 2026By 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

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fowltra@directswmedcenter.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JGBGAA

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.

• Southwest Medical Center

  dba Southwest Professional Physicians

  • Surgery Physician
  • Liberal, KS
  • NPI 1144493040
  Medicare reassignment NPD
• Southwest Medical Center

  dba SWMC Diagnostic Imaging

  • Diagnostic Radiology Physician
  • Liberal, KS
  • NPI 1285503078
  NPD
• Southwest Medical Center

  dba Southwest Internal Medicine

  • Internal Medicine Physician
  • Liberal, KS
  • NPI 1053351668
  NPD (past)

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1801201173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1215",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679051215",
            "telephone_number": "620-624-0732",
            "fax_number": "620-624-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W 15TH ST STE A",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012461",
            "telephone_number": "620-624-0702",
            "fax_number": "620-624-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "TRACY",
        "middle_name": "M",
        "credential": "APRN/PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KS",
            "license": "5376397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl James Fitzgerald, MD
• Russell W Fitzgerald, MD
• Karlo Marcelo Cleope Flores
• Lamberto Opulencia Flores, MD
• FMS Midwest Dialysis Centers, LLC (Renal Care Group Liberal)
• Fabiola Valentina Fraire, LMSW
• Jana Rae Frantz, RPH
• Royce E Frazier, LCMFT
• Mark Vernon Garbutt, M.D.
• Gill Internal Medicine L.L.C.

• Pediatric Nurse Practitioner in Liberal, KS
• Providers in Liberal, KS by specialty
• Pediatric Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.