JETA LAURIE BOWMAN AGNP
NPI 1366899288
Nurse Practitioner - Adult Health in Tyler, TX

Active since May 20, 2016PECOS EnrolledAccepts Medicare Assignment
520 DOUGLAS BLVD, TYLER, TX 75702(903) 606-1721 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2019, Jun 19, 2019, May 7, 2019 and 2 more (5 updates tracked since 2016).

About Jeta Laurie Bowman Agnp NPPES

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

JETA LAURIE BOWMAN AGNP (NPI 1366899288) is an individual adult health provider in Tyler, Texas, licensed in Texas (AP130960) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and maintains a secondary practice location in Tyler.

NPPES Registry Identity

NPI1366899288
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJETA LAURIE BOWMANCredential: AGNP
Location Address520 DOUGLAS BLVDTyler, TX 75702
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6400
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 20, 2016
Last NPPES UpdateJuly 1, 20195 updates tracked since enumeration
NPI 1366899288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in TX · AP130960
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP130960 (TX)
520 DOUGLAS BLVD, Tyler, TX 75702

Secondary Practice Location 1

Location 1520 Douglas BlvdTyler, TX 75702 · Phone (903) 606-1721

Other Identifiers 3

Medicaid381618302TX
OtherP02223408TX · Medicare Rail Road
Other787876TX · Medicare

Accepted 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

Jeta Laurie Bowman Agnp 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 ID1759667819
PECOS Enrollment IDI20170404002497
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 3

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
54 services37 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75702 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Internal Medicine
520 DOUGLAS BLVD
TYLER, TX 75702
Internal Medicine
520 DOUGLAS BLVD
TYLER, TX 75702
Obstetrics & Gynecology
520 DOUGLAS BLVD
TYLER, TX 75702
Psychiatry & Neurology (Psychiatry)
520 DOUGLAS BLVD
TYLER, TX 75702
Family Medicine
520 DOUGLAS BLVD
TYLER, TX 75702
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
520 DOUGLAS BLVD
TYLER, TX 75702
Pharmacist
520 DOUGLAS BLVD
TYLER, TX 75702
Social Worker (Clinical)
520 DOUGLAS BLVD
TYLER, TX 75702

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 Jeta Bowman's NPI number?

The NPI number for Jeta Bowman is 1366899288. It was assigned to this individual provider in the NPPES registry on May 20, 2016.

Where is Jeta Bowman located?

Jeta Bowman practices at 520 Douglas Blvd, Tyler, TX 75702. The listed phone number is (903) 606-1721.

What is Jeta Bowman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jeta Bowman enrolled in Medicare?

Yes. Jeta Bowman 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 Jeta Bowman accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Jeta Bowman 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 Jeta Bowman affiliated with any hospitals?

According to CMS data, Jeta Bowman is affiliated with Christus Mother Frances Hospital.

When was this NPI record last updated?

The NPPES record for Jeta Bowman was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.