Individual provider Active NPI

Stephanie Bowman, NNP

  • Neonatal Nurse Practitioner
  • Hendersonville, NC
National Provider Identifier
1972050938
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
5008891 Issued in NC
Practice address
100 Hospital Dr
Hendersonville, NC 28792-5272
Phone
(828) 650-8167
Fax
(828) 687-0729
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 5008891 NC Primary

Addresses

Primary practice location

100 Hospital Dr
Hendersonville, NC 28792-5272

Mailing address

PO Box 1869
Fletcher, NC 28732-1869
Phone (828) 687-5616

Other practice location 1

Neonatal Intensive Care Unit
1 Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 713-6429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20170717002644 NC Practitioner - Nurse Practitioner 6709156250 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Hospital Inc. Current Accepting new patients
Fletcher Hospital Inc. CurrentSince Jan 1, 2022 Accepting new patients
Wake Forest University Health Sciences CurrentSince Apr 22, 2017 Accepting new patients
Fletcher Hospital Inc CurrentSince Jan 1, 2022 Accepting new patients
Shawnee Mission Medical Center Inc Past Accepting new patients

Locations

80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073

100 Hospital Dr
Hendersonvlle, NC 28792
Phone (828) 650-8167

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: sbowman659143@adventhealth.direct-ci.com
  • Direct secure messaging: sbowman2753518@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1972050938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287321869",
            "telephone_number": "828-687-5616",
            "fax_number": "828-650-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925272",
            "telephone_number": "828-650-8167",
            "fax_number": "828-687-0729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Neonatal Intensive Care Unit",
            "address_2": "1 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-713-6429",
            "fax_number": "336-713-6434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NC",
            "license": "5008891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.