ALEXIS RAE BOWMAN MD
NPI 1366174252
Pediatrics in Elkhart, IN

Q: What is Alexis Bowman's NPI number?

The NPI number for Alexis Bowman is 1366174252. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Q: What is Alexis Bowman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Alexis Bowman was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since June 29, 2022PECOS Enrolled

236 SIMPSON AVE, ELKHART, IN 46516(574) 293-0052 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Alexis Rae Bowman Md NPPES

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

ALEXIS RAE BOWMAN MD (NPI 1366174252) is an individual pediatrics provider in Elkhart, Indiana, licensed in Michigan (4351050099) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lansing, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1366174252

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameALEXIS RAE BOWMANCredential: MD

Location Address236 SIMPSON AVEElkhart, IN 46516-4666

Mailing Address236 Simpson AveElkhart, IN 46516-4666 · (574) 293-0052

Phone(574) 293-0052

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 29, 2022

Last NPPES UpdateJune 23, 2025

NPPES CertifiedJune 16, 2025

✔ NPI 1366174252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4351050099

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

236 SIMPSON AVE, Elkhart, IN 46516

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Secondary Practice Location 1

Location 11215 E Michigan AveLansing, MI 48912-1811 · Phone (517) 364-2157

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Rae Bowman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830696509

PECOS Enrollment IDI20251008002293

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.

Medicare Billing Reassignment

Medicare enrollment records show Alexis Bowman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthlinc, Inc

Same address

Community Health

236 SIMPSON AVE
Elkhart, IN 46516

Reassigned Medicare billing, Indiana enrollment
Medicare enrollment name: Heart City Health Center Inc
46 clinicians in this Medicare group

NPI 1720033418 (574) 970-1435

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 46516 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 20

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

HEART CITY HEALTH CENTER PHARMACY

Clinic/Center (Community Health)