Individual provider Active NPI

James Edward Cowger Jr., APN

  • Family Nurse Practitioner
  • Flora, IL
National Provider Identifier
1902056138
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.009553 Issued in IL
Practice address
929 Stacey Burk Dr
Flora, IL 62839-3241
Phone
(618) 662-2191
Fax
(618) 662-8090
NPI assigned
Sep 24, 2008
Last updated
Jun 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.009553 IL Primary
Paramedic 146L00000X 000593533 IL
Registered Nurse 163W00000X 041.336590 IL
Registered Nurse 163W00000X 2007005874 MO

Addresses

Primary practice location

929 Stacey Burk Dr
Flora, IL 62839-3241

Mailing address

929 Stacey Burk Dr
PO Box 40
Flora, IL 62839-3241
Phone (618) 662-2191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20131216000155 IL Practitioner - Nurse Practitioner 6608003819 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Emergency Good Samaritan, IncGroup PAC ID 1658529342, 28 clinicians
County of ClayGroup PAC ID 0042101982, 77 clinicians

Practice addresses (Care Compare)

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (618) 242-4600

20558 E 1400TH Ave
Teutopolis, IL 62467-3644
Phone (217) 343-4108

911 Stacey Burk Dr
Flora, IL 62839-3241
Phone (618) 662-2131

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
000593533ILMDParamedic
041.336590ILMDRegistered Nurse
2007005874MOMDRegistered Nurse
209.009553ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sigma Innovation Group PLLC Family CurrentSince Dec 11, 2024 Accepting new patients
Eye Microsurgery, LTD. PastSince Dec 21, 2015 Accepting new patients
County of Clay Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jcowg@yourcarecommunity.org

Organizations & group practices 6

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 2

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": "1340668800000",
    "number": "1902056138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 STACEY BURK DR",
            "address_2": "PO BOX 40",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628393241",
            "telephone_number": "618-662-2191",
            "fax_number": "618-662-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 STACEY BURK DR",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628393241",
            "telephone_number": "618-662-2191",
            "fax_number": "618-662-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWGER",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.009553",
            "primary": true
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "IL",
            "license": "000593533",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.336590",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2007005874",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flora, IL

Sources for this page

Verify at the official NPI Registry.