Active NPI
Lisa S Bowen, NP-C
- Nurse Practitioner
- Alexandria, VA
National Provider Identifier
1801430053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0001268933
- Practice address
- 4660 Kenmore Ave Ste 900
Alexandria, VA 22304-1383 - Phone
- (703) 820-7000
- NPI assigned
- Oct 31, 2019
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0001268933 | VA | Primary |
Addresses
Primary practice location
4660 Kenmore Ave Ste 900
Alexandria, VA 22304-1383
Mailing address
3616 Orlando PL
Alexandria, VA 22305-1147
Phone (571) 245-4734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.13 of 100
- Quality
- 90.26
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Healthcare PC | Current | Accepting new patients | |
| Capital Healthcare PC Dba Allcare | Current | Accepting new patients | |
| Allcare Ga PC | Past | Accepting new patients |
Locations
6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993
4167 Merchant Plz
Woodbridge, VA 22192
Phone (703) 878-8800
Organizations & group practices 3
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 Allcare
- Family Medicine Physician
- Woodbridge, VA
- NPI 1407162076
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1972080554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1801430053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3616 ORLANDO PL",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223051147",
"telephone_number": "571-245-4734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 KENMORE AVE STE 900",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041383",
"telephone_number": "703-820-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "LISA",
"middle_name": "S",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-31",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0001268933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.