Active NPI
Jacqueline Bowser, CRNA
- Certified Registered Nurse Anesthetist
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 218836
- Practice address
- 2142 N Cove Blvd
Toledo, OH 43606-3895 - Phone
- (419) 291-4000
- NPI assigned
- Dec 26, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 218836 | AR | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | RN.443091 | OH |
Addresses
Primary practice location
2142 N Cove Blvd
Toledo, OH 43606-3895
Mailing address
25590 Farmbrook Rd
Southfield, MI 48034-1103
Phone (907) 821-0780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3215 N N Hills Blvd
Fayetteville, AR 72703-4424
Phone (479) 463-1000
Hospital & facility affiliations
- Washington Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.443091 | OH | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Arkansas Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Fayetteville, AR
- NPI 1932519485
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fayetteville, AR
- NPI 1083609150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1801435706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25590 FARMBROOK RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341103",
"telephone_number": "907-821-0780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2142 N COVE BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063895",
"telephone_number": "419-291-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWSER",
"first_name": "JACQUELINE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-26",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "218836",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "OH",
"license": "RN.443091",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.