KASHANTI SHANTI BOWDEN NP
NPI 1023682705
Nurse Practitioner - Pediatrics in Palatka, FL
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, maintains a secondary practice location in Coeur D Alene, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kashanti Shanti Bowden Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kashanti Bowden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kellogg, ID 83837
- Reassigned Medicare billing, Idaho enrollment
- 81 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
PALATKA, FL 32177
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.
Which organization bills Medicare for Kashanti Bowden's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kashanti Bowden reassigns Medicare benefits to Dirne Health Centers, Inc (Kellogg, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kashanti Bowden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kashanti Bowden accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Moda Health Plan, Inc., Molina Healthcare and PacificSource Health Plans and 2 other insurers list Kashanti Bowden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 5 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.
# Kashanti Shanti Bowden, NP · NPI 1023682705
Pediatrics physician in Palatka, Florida. Individual provider, active in the CMS NPPES registry since May 17, 2021.
## Identity
- **NPI:** 1023682705 (Entity type: Individual)
- **Enumerated:** May 17, 2021
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** APRN11011957 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6910 OLD WOLF BAY RD, Palatka, FL 32177-6800
- **Phone:** (386) 328-7337
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
- **Bills Medicare through:** Dirne Health Centers, Inc (NPI 1487076048, Kellogg, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023682705) · Data from the CMS NPPES public registry.