Individual provider Active NPI

Kerry Bower, PA-C

  • Physician Assistant
  • Greeley, CO
National Provider Identifier
1922104595
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0001077 Issued in CO
Practice address
6801 W 20TH St Unit 101
Greeley, CO 80634-9640
Phone
(970) 378-8000
Fax
(970) 378-8035
NPI assigned
Sep 14, 2006
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0001077 CO Primary

Addresses

Primary practice location

6801 W 20TH St Unit 101
Greeley, CO 80634-9640

Mailing address

6801 W 20TH St Unit 101
Greeley, CO 80634-9640
Phone (970) 378-8026

Other practice location 1

3330 S Rio Grande Ave Ste 300
Montrose, CO 81401-4850
Phone (970) 249-7751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20120830000651 WY Practitioner - Physician Assistant 0143228841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Health Associates of CheyenneGroup PAC ID 9032100557, 7 clinicians

Practice addresses (Care Compare)

7212 Commons Cir
Cheyenne, WY 82009-2667

7212 Commons Dr
Cheyenne, WY 82009

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
92.76
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0001077COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Group PC CurrentSince Nov 28, 2023 Accepting new patients
Cedar Point Health LLC Past Accepting new patients

Locations

7212 Commons Cir
Cheyenne, WY 82009
Phone (307) 635-4141

Interoperability endpoints

  • Direct secure messaging: kerry.bower.1@20640.direct.athenahealth.com

Organizations & group practices 4

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1922104595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 W 20TH ST UNIT 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349640",
            "telephone_number": "970-378-8026",
            "fax_number": "970-378-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 W 20TH ST UNIT 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349640",
            "telephone_number": "970-378-8000",
            "fax_number": "970-378-8035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 S Rio Grande Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814014850",
            "country_code": "US",
            "telephone_number": "970-249-7751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWER",
        "first_name": "KERRY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0001077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.