KASHANTI SHANTI BOWDEN NP
NPI 1023682705
Nurse Practitioner - Pediatrics in Palatka, FL

Active since May 17, 2021PECOS Enrolled
6910 OLD WOLF BAY RD, PALATKA, FL 32177(386) 328-7337 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2026, May 17, 2021 (2 updates tracked since 2021).

About Kashanti Shanti Bowden Np NPPES

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

KASHANTI SHANTI BOWDEN NP (NPI 1023682705) is an individual pediatrics provider in Palatka, Florida, licensed in Florida (APRN11011957) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1023682705
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKASHANTI SHANTI BOWDENCredential: NP
Location Address6910 OLD WOLF BAY RDPalatka, FL 32177-6800
Mailing Address6548 Sand Lake Sound Rd Unit 5220Orlando, FL 32819-7639 · (407) 375-1195
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 17, 2021
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
NPI 1023682705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses Licensed in FL · APRN11011957 Licensed in ID · 3981306
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3981306 (ID)
6910 OLD WOLF BAY RD, Palatka, FL 32177

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kashanti Shanti Bowden Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931679784
PECOS Enrollment IDI20260521004055
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32177 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 9

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

Pediatrics
6910 OLD WOLF BAY RD, KIDS CARE PEDIATRICS, PA
PALATKA, FL 32177
Pediatrics
6910 OLD WOLF BAY RD
PALATKA, FL 32177
Pediatrics
6910 OLD WOLF BAY RD
PALATKA, FL 32177
Pediatrics
6910 OLD WOLF BAY RD
PALATKA, FL 32177
Nurse Practitioner (Pediatrics)
6910 OLD WOLF BAY RD
PALATKA, FL 32177
Clinic/Center (Rural Health)
6910 OLD WOLF BAY RD
PALATKA, FL 32177
Nurse Practitioner (Pediatrics)
6910 OLD WOLF BAY RD
PALATKA, FL 32177
Nurse Practitioner (Pediatrics)
6910 OLD WOLF BAY RD, KIDS CARE PEDIATRICS, PA
PALATKA, FL 32177

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 Kashanti Bowden's NPI number?

The NPI number for Kashanti Bowden is 1023682705. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Kashanti Bowden located?

Kashanti Bowden practices at 6910 Old Wolf Bay Rd, Palatka, FL 32177. The listed phone number is (386) 328-7337.

What is Kashanti Bowden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kashanti Bowden enrolled in Medicare?

Yes. Kashanti Bowden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kashanti Bowden was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.