Whitney Jo Bowling, APRN
Individual provider Active NPI Nurse Practitioner · East Bernstadt, KY
NPI 1891058731 · NPPES record last updated Dec 3, 2020
Key facts
- NPI
- 1891058731
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 3007475 (KY)
- Practice address
- 2659 North Laurel Road
East Bernstadt, KY 40729-0495 - Phone
- (606) 843-6195
- Fax
- (606) 843-6222
- NPI assigned
- Jun 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
-
David J Hays, MD
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2659 N Laurel Rd
East Bernstadt, KY 40729-0495
Hospital & facility affiliations
- Adventhealth Home Health
- AdventHealthManchester
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120801000519 | KY | Practitioner - Nurse Practitioner | 2264688555 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Bernstadt Medical Clinic PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Three Stores Inc | Past |
Accepting new patients | |
| East Bernstadt Medical Clinic PLLC | Nurse Practitioner | Past | Accepting new patients |
| East Bernstadt Medical Clinic PLLC | Nurse Practitioner | Past | Accepting new patients |
Locations
78 Highway 3444
Ste 1
Annville, KY 40402
Phone (606) 364-5162
11901 N Highway 421
Manchester, KY 40962
Phone (606) 598-2706
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3007475 | KY | Yes |
Addresses
Primary practice location
2659 North Laurel Road
East Bernstadt, KY 40729-0495
Mailing address
2659 North Laurel Road
East Bernstadt, KY 40729-0495
Phone (606) 843-6195
Other providers in East Bernstadt, KY
- Farid James Asayesh
- Larissa L Bailey
- Lawrence Carl Bentley
- Elizabeth Lee Boggs
- Travis Trey Burkhart
- Cristin Chadwell
- East Bernstadt Independent School District
- Heather Annette Elza
- Katie Grubb
All providers in East Bernstadt, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.