MISS CHANTELLE E BOWMAN PA-C
NPI 1063740082
Physician Assistant in Fort Hall, ID

Q: What is Chantelle Bowman's NPI number?

The NPI number for Chantelle Bowman is 1063740082. It was assigned to this individual provider in the NPPES registry on December 2, 2009.

Q: What is Chantelle Bowman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Chantelle Bowman was last updated on March 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since December 02, 2009PECOS Enrolled

717 MISSION ROAD, COMMUNITY HEALTH NURSING PROGRAM, FORT HALL, ID 83203(208) 238-5435(208) 238-5440 Get Directions Write a Review

NPPES record last updated: March 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2016, Mar 21, 2016 (2 updates tracked since 2016).

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About Miss Chantelle E Bowman Pa-c NPPES

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

MISS CHANTELLE E BOWMAN PA-C (NPI 1063740082) is an individual physician assistant in Fort Hall, Idaho, licensed in Idaho (PA-831) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063740082

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMISS CHANTELLE E BOWMANCredential: PA-C

Location Address717 MISSION ROAD, COMMUNITY HEALTH NURSING PROGRAMFort Hall, ID 83203

Mailing AddressPo Box 306Fort Hall, ID 83203-0306 · (208) 234-2300 · Fax (208) 234-0026

Phone(208) 238-5435

Fax(208) 238-5440

Sole ProprietorNo

Enumeration DateDecember 2, 2009

Last NPPES UpdateMarch 29, 20162 updates tracked since enumeration

✔ NPI 1063740082 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 ID · PA-831

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.

717 MISSION ROAD, Fort Hall, ID 83203

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Other Identifiers 1

OtherPA831ID · Idaho Board Of Medicine

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Chantelle E Bowman 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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

22 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83203 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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.

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Other Providers at the Same Location NPPES 7

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

MR. THAYNE ANDERSEN LCSW

Social Worker (Clinical)