MARYELLEN BOWMAN N.P.
NPI 1407938954
Nurse Practitioner - Family in Chesterfield, MO

Active since October 20, 2006PECOS Enrolled
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017(636) 237-4401 Get Directions Write a Review

NPPES record last updated: May 14, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 14, 2019, Mar 17, 2018, Jul 6, 2017 (3 updates tracked since 2017).

About Maryellen Bowman N.p. NPPES

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

MARYELLEN BOWMAN N.P. (NPI 1407938954) is an individual family provider in Chesterfield, Missouri, licensed in Missouri (083280) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Manchester.

NPPES Registry Identity

NPI1407938954
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARYELLEN BOWMANCredential: N.P.
Location Address15740 S OUTER 40 RDChesterfield, MO 63017-2004
Mailing Address15740 S Outer 40 RdChesterfield, MO 63017-2004 · (636) 735-4268
Sole ProprietorNo
Enumeration DateOctober 20, 2006
Last NPPES UpdateMay 14, 20193 updates tracked since enumeration
✔ NPI 1407938954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 083280
15740 S OUTER 40 RD, Chesterfield, MO 63017

Secondary Practice Location 1

Location 12200 Barrett Station RoadManchester, MD 63021 · Phone (314) 821-1313

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryellen Bowman N.p. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Maryellen Bowman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
114 DOWNEY PL
Cuba, MO 65453
  • Reassigned Medicare billing, Missouri enrollment
  • 1,487 clinicians in this Medicare group
Multi-Specialty
1 MERCY WAY
Bella Vista, AR 72714
  • Reassigned Medicare billing, Arkansas enrollment
  • 472 clinicians in this Medicare group

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 63017 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Family Medicine
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Psychiatry & Neurology (Neurology)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Counselor (Professional)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017

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 Maryellen Bowman's NPI number?

The NPI number for Maryellen Bowman is 1407938954. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Maryellen Bowman located?

Maryellen Bowman practices at 15740 S Outer 40 Rd, Chesterfield, MO 63017. The listed phone number is (636) 237-4401.

What is Maryellen Bowman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Maryellen Bowman enrolled in Medicare?

Yes. Maryellen Bowman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Maryellen Bowman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryellen Bowman reassigns Medicare benefits to 2 organizations: Mercy Clinic Springfield Communities (Cuba, MO) and Mercy Health Northwest Arkansas Communities (Bella Vista, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maryellen Bowman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maryellen Bowman was last updated on May 14, 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.