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DESTINEE BRIANA FOWLER PA-C
NPI 1033799564
Physician Assistant in Clarksville, TN

Active since April 09, 2021PECOS Enrolled
87.26/100
CMS Quality Rating
1492 TINY TOWN RD STE A1-A2, CLARKSVILLE, TN 37042(615) 553-5000(615) 758-3875 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2021, Apr 9, 2021 (2 updates tracked since 2021).

About Destinee Briana Fowler Pa-c NPPES

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

DESTINEE BRIANA FOWLER PA-C (NPI 1033799564) is an individual physician assistant in Clarksville, Tennessee, licensed in Tennessee (4534) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mt Juliet.

NPPES Registry Identity

NPI1033799564
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDESTINEE BRIANA FOWLERCredential: PA-C
Location Address1492 TINY TOWN RD STE A1-A2Clarksville, TN 37042-7873
Mailing Address745 Tracy Ln Unit 113Clarksville, TN 37040-0064 · (302) 399-5907
Phone(615) 553-5000
Fax(615) 758-3875
Sole ProprietorYes
Enumeration DateApril 9, 2021
Last NPPES UpdateJuly 19, 20212 updates tracked since enumeration
NPPES CertifiedJuly 19, 2021
✔ NPI 1033799564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 4534
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1492 TINY TOWN RD STE A1-A2, Clarksville, TN 37042
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Other Names 1

Former Name (1)Destinee Briana Hagaman

Secondary Practice Location 1

Location 14998 Crossings Cir Ste 200MT Juliet, TN 37122-0018 · Phone (615) 553-5000

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Destinee Briana Fowler Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 37042 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
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.97
Promoting Interoperability85.91
Improvement Activities40

Other Providers at the Same Location NPPES

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

SEVEN SPRINGS ORTHOPAEDICS, PC
Orthopaedic Surgery
1492 TINY TOWN RD STE A1-A2
CLARKSVILLE, TN 37042
Montgomery County (615) 553-5000

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 Destinee Fowler's NPI number?

The NPI number for Destinee Fowler is 1033799564. It was assigned to this individual provider in the NPPES registry on April 9, 2021. The provider is also known as Destinee Briana Hagaman.

Where is Destinee Fowler located?

Destinee Fowler practices at 1492 Tiny Town Rd Ste A1-A2, Clarksville, TN 37042. The listed phone number is (615) 553-5000.

What is Destinee Fowler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Destinee Fowler enrolled in Medicare?

Yes. Destinee Fowler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Destinee Fowler was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.