Individual provider Active NPI

Dodi Lynn Bowen, FNP-BC

  • Family Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1811147036
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
47646 Issued in WV
Practice address
1606 Kanawha Blvd W
Charleston, WV 25387-2536
Phone
(304) 768-8523
Fax
(304) 941-1918
NPI assigned
Sep 24, 2008
Last updated
Dec 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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 47646 WV Primary

Addresses

Primary practice location

1606 Kanawha Blvd W
Charleston, WV 25387-2536

Mailing address

3415 Maccorkle Seave
Charleston, WV 25304-1334
Phone (304) 388-8380

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dbowen300502@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20130805000598 WV Practitioner - Nurse Practitioner 0648327502 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Development Co.Group PAC ID 4183527476, shared by 9 NPIs, 65 clinicians

Practice addresses (Care Compare)

200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-4444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
47646WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Development Co CurrentSince Oct 31, 2021 Accepting new patients
West Virginia University Medical Corporation CurrentSince Oct 18, 2021 Accepting new patients
Hospital Development Co CurrentSince Oct 31, 2021 Accepting new patients
West Virginia University Medical Corporation CurrentSince Oct 18, 2021 Accepting new patients
Hospital Development Co CurrentSince Dec 31, 2025 Accepting new patients
Hospital Development Co Current Accepting new patients
Hospital Development Co Current Accepting new patients
Professional Anesthesia Service,Inc. Past Accepting new patients

Locations

3100 Maccorkle Ave SE
Ste 101
Charleston, WV 25304
Phone (304) 388-5395

415 Morris St
Ste 309
Charleston, WV 25301
Phone (304) 348-3290

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

705 Garfield Ave
Ste 220
Parkersburg, WV 26101
Phone (304) 424-2276

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

200 Hospital Dr
Spencer, WV 25276
Phone (304) 927-4444

Interoperability endpoints

  • Direct secure messaging: dbowen300502@direct.wvuhsdirect.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1811147036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 MACCORKLE SEAVE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041334",
            "telephone_number": "304-388-8380",
            "fax_number": "304-388-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 KANAWHA BLVD W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253872536",
            "telephone_number": "304-768-8523",
            "fax_number": "304-941-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "DODI",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "47646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbowen300502@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "705 Garfield Ave Ste 220",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261015444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.