SHASTA NICOLE BOWENS APRN FNP-C
NPI 1013443191
Nurse Practitioner - Family in Johnson City, TN

Active since May 10, 2017PECOS EnrolledAccepts Medicare Assignment
410 N STATE OF FRANKLIN RD STE 135, JOHNSON CITY, TN 37604(423) 431-4866 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 24, 2017, May 10, 2017 (2 updates tracked since 2017).

About Shasta Nicole Bowens Aprn Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHASTA NICOLE BOWENS APRN FNP-C (NPI 1013443191) is an individual family provider in Johnson City, Tennessee, licensed in Kentucky (3011297) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Mount Sterling, and maintains a secondary practice location in Pikeville.

NPPES Registry Identity

NPI1013443191
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHASTA NICOLE BOWENSCredential: APRN FNP-C
Location Address410 N STATE OF FRANKLIN RD STE 135Johnson City, TN 37604-6972
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 10, 2017
Last NPPES UpdateFebruary 26, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2024
NPI 1013443191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3011297
410 N STATE OF FRANKLIN RD STE 135, Johnson City, TN 37604

Secondary Practice Location 1

Location 1911 Bypass Rd # Clinic8Pikeville, KY 41501-1689 · Phone (606) 218-6408 · Fax (606) 218-7508

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shasta Nicole Bowens Aprn Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810253705
PECOS Enrollment IDI20171109000312
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Joseph Mount Sterling

Acute Care Hospitals · Mount Sterling, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180064
Location225 Falcon DriveMount Sterling, KY 40353 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
410 N STATE OF FRANKLIN RD STE 135
JOHNSON CITY, TN 37604
Nurse Practitioner (Acute Care)
410 N STATE OF FRANKLIN RD STE 135
JOHNSON CITY, TN 37604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shasta Bowens's NPI number?

The NPI number for Shasta Bowens is 1013443191. It was assigned to this individual provider in the NPPES registry on May 10, 2017.

Where is Shasta Bowens located?

Shasta Bowens practices at 410 N State Of Franklin Rd Ste 135, Johnson City, TN 37604. The listed phone number is (423) 431-4866.

What is Shasta Bowens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shasta Bowens enrolled in Medicare?

Yes. Shasta Bowens is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shasta Bowens affiliated with any hospitals?

According to CMS data, Shasta Bowens is affiliated with Saint Joseph Mount Sterling.

When was this NPI record last updated?

The NPPES record for Shasta Bowens was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.