Larissa Ann Bower, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP014545 Issued in PA

Practice address

1500 Walnut St
Philadelphia, PA 19102-3523

Phone

(267) 754-8400

NPI assigned

Dec 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Larissa Ann Eakin Former name

Medicare fee-for-service enrollment

Enrolled in PA, NY, CT, NJ4 enrollments

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 4

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pennsylvania Kidney Care PCGroup PAC ID 9032524343, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pennsylvania Kidney Care, P.C.

  • Nephrology Physician
  • Denver, CO
  • NPI 1477155638

  PA

  Medicare reassignment Care Compare group
• Pinnacle Health Cardiovascular Institute Inc

  • Cardiovascular Disease Physician
  • Wormleysburg, PA
  • NPI 1952603342

  Nurse Practitioner

  Medicare reassignment NPD
• Suburban Geriatrics II PC

  • Internal Medicine Physician
  • Plymouth Meeting, PA
  • NPI 1073273363
  Medicare reassignment NPD
• Integrated Patient Solutions Mid-Atlantic, PC

  • Nephrology Physician
  • Denver, CO
  • NPI 1578275137

  NJ

  Medicare reassignment NPD
• Integrated Patient Solutions of Connecticut, P.C.

  • Nephrology Physician
  • Denver, CO
  • NPI 1306699830

  CT

  Medicare reassignment NPD
• Integrated Ny Medical Care, PLLC

  • Nephrology Physician
  • Denver, CO
  • NPI 1235759234

  NY

  Medicare reassignment
• Integrated Patient Solutions of Pennsylvania, P.C.

  • Nephrology Physician
  • Denver, CO
  • NPI 1942073606

  PA

  Medicare reassignment
• Strive Health NJ, LLC

  • Nephrology Physician
  • Denver, CO
  • NPI 1558015065
  NPD
• Strive Health PA, LLC

  • Nephrology Physician
  • Denver, CO
  • NPI 1841817921
  NPD (past)

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1952709982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 17TH ST STE 1000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022043",
            "telephone_number": "610-272-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WALNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023523",
            "telephone_number": "267-754-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Jolly Rd",
            "address_purpose": "LOCATION",
            "city": "Plymouth Meeting",
            "state": "PA",
            "postal_code": "194622324",
            "country_code": "US",
            "telephone_number": "610-272-8221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1266 E Main St Ste Rofc619",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069023546",
            "country_code": "US",
            "telephone_number": "347-252-9771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Kinderkamack Rd Ofc 121",
            "address_purpose": "LOCATION",
            "city": "Oradell",
            "state": "NJ",
            "postal_code": "076491534",
            "country_code": "US",
            "telephone_number": "347-252-9771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Park Ave S Fl 10",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100168808",
            "country_code": "US",
            "telephone_number": "347-252-9771",
            "fax_number": "888-597-2148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWER",
        "first_name": "LARISSA",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "14115",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15259000",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "312171",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP014545",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP014545",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP014545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103036860",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARISSA",
            "last_name": "EAKIN",
            "middle_name": "ANN",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Iris Bowen
• Melissa Bowen, BCBA
• Brenda Bowens
• Marcia D Bowens
• Jordan Shea Bower, DMD
• Daniel S. Bowerman, D.C., F.A.C.O.
• Elizabeth Grace Bowerman
• Brian Bowers
• Jacqueline Bowers, MD
• Julie Alexa Bowers, PA-C

• Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.