Individual provider Active NPI

Constance Allyson Nicastro-Bowman, CNP

  • Adult Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1942448816
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
10418 Issued in OH
Practice address
929 Jasonway Ave
Columbus, OH 43214-2464
Phone
(614) 538-2250
NPI assigned
Jan 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 280716 OH
Adult Health Nurse Practitioner 363LA2200X 10418 OH Primary

Addresses

Primary practice location

929 Jasonway Ave
Columbus, OH 43214-2464

Mailing address

6868 Brodie Blvd
Dublin, OH 43017-8048
Phone (614) 793-9753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120627000330 OH Practitioner - Nurse Practitioner 9032374954 Reassigns benefits to 2 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
Riverside Nephrology Associates IncGroup PAC ID 8022058585, 22 clinicians

Practice addresses (Care Compare)

929 Jasonway Ave
Columbus, OH 43214-2330
Phone (614) 538-2250

929 Jasonway Ave
Columbus, OH 43214-2464

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
280716OHMDRegistered Nurse
10418OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince May 17, 2012 Accepting new patients
Ohiohealth Corporation CurrentSince May 17, 2012 Accepting new patients
Riverside Nephrology Associates, Inc. CurrentSince May 18, 2013 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3705 Olentangy River Rd
Ste 100
Columbus, OH 43214

Dept L3652
Columbus, OH 43260

815 W Broad St
Ste 320
Columbus, OH 43222
Phone (614) 221-0222

929 Jasonway Ave
Columbus, OH 43214
Phone (614) 538-2256

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

6024 Hoover Rd
Ste F
Grove City, OH 43123
Phone (614) 539-4964

500 London Ave
Marysville, OH 43040
Phone (740) 420-8451

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: cnicastrobowman30157@direct.acumenmd.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1942448816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6868 BRODIE BLVD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430178048",
            "telephone_number": "614-793-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 JASONWAY AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142464",
            "telephone_number": "614-538-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICASTRO-BOWMAN",
        "first_name": "CONSTANCE",
        "middle_name": "ALLYSON",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "280716",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "10418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.