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MS. NICOLE M BOWAN PA-C
NPI 1295731693
Physician Assistant - Medical in Wexford, PA

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
5500 BROOKTREE RD, STE 201, WEXFORD, PA 15090(724) 933-1420(724) 933-1439 Get Directions Write a Review

NPPES record last updated: March 24, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Nicole M Bowan Pa-c NPPES

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

MS. NICOLE M BOWAN PA-C (NPI 1295731693) is an individual medical provider in Wexford, Pennsylvania, licensed in Tennessee (890) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Clarion Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1295731693
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. NICOLE M BOWANCredential: PA-C
Location Address5500 BROOKTREE RD, STE 201Wexford, PA 15090-9260
Mailing Address5500 Brooktree Rd, Ste 201Wexford, PA 15090-9260 · (724) 933-1420 · Fax (724) 933-1439
Phone(724) 933-1420
Fax(724) 933-1439
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 22, 2005
Last NPPES UpdateMarch 24, 2009
✔ NPI 1295731693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TN · 890
5500 BROOKTREE RD, Wexford, PA 15090
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINQ05710
Medicaid3374865TN
Medicare ID-Type Unspecified3662085

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Ms. Nicole M Bowan Pa-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 ID3779473103
PECOS Enrollment IDI20090508000213
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 2

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.
230 services154 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Clarion Hospital

Acute Care Hospitals · Clarion, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390093
LocationOne Hospital DriveClarion, PA 16214 · Clarion County
Emergency services

Acmh Hospital

Acute Care Hospitals · Kittanning, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390163
LocationOne Nolte DriveKittanning, PA 16201 · Armstrong County
Emergency services Birthing friendly

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
91%76 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
84%104 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

DR. PUDUCHREI S ASHOK M.D.
Internal Medicine (Gastroenterology)
5500 BROOKTREE RD, SUITE 201
WEXFORD, PA 15090
Allegheny County (724) 933-1420
DR. MICHAEL L MLECKO
Internal Medicine (Gastroenterology)
5500 BROOKTREE RD, SUITE 201
WEXFORD, PA 15090
Allegheny County (724) 933-1420
DR. ROBERT P CINCALA D.O.
Internal Medicine (Gastroenterology)
5500 BROOKTREE RD, SUITE 201
WEXFORD, PA 15090
Allegheny County (724) 933-1420
DR. WILLIAM W PHILLIPS M.D.
Internal Medicine (Gastroenterology)
5500 BROOKTREE RD, SUITE 201
WEXFORD, PA 15090
Allegheny County (724) 933-1420
MRS. MELISSA ANNE HUTZEL MS CCC-SLP
Speech-Language Pathologist
5500 BROOKTREE RD
WEXFORD, PA 15090
Allegheny County (800) 422-6682
MRS. HOLLY LYNN MCELHINNY PT
Physical Therapist
5500 BROOKTREE RD
WEXFORD, PA 15090
Allegheny County (800) 422-6682
DEBORAH ANN EKAS
Speech-Language Pathologist
5500 BROOKTREE RD
WEXFORD, PA 15090
Allegheny County (800) 422-6682
MRS. SHERI LYNN SPENCER PT
Physical Therapist (Pediatrics)
5500 BROOKTREE RD
WEXFORD, PA 15090
Allegheny County (800) 422-6682

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 Nicole Bowan's NPI number?

The NPI number for Nicole Bowan is 1295731693. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Nicole Bowan located?

Nicole Bowan practices at 5500 Brooktree Rd Ste 201, Wexford, PA 15090. The listed phone number is (724) 933-1420.

What is Nicole Bowan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nicole Bowan enrolled in Medicare?

Yes. Nicole Bowan 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.

What insurance does Nicole Bowan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nicole Bowan 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.

Is Nicole Bowan affiliated with any hospitals?

According to CMS data, Nicole Bowan is affiliated with Clarion Hospital, Acmh Hospital and Butler Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Bowan was last updated on March 24, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.