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JACQLYNE WEBER BOWMAN PMHNP-BC
NPI 1457021354
Nurse Practitioner - Psychiatric/Mental Health in Kingsport, TN

Active since September 14, 2021PECOS EnrolledAccepts Medicare Assignment
1570 WAVERLY RD, KINGSPORT, TN 37664(423) 224-1300(423) 224-1375 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqlyne Weber Bowman Pmhnp-bc NPPES

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

JACQLYNE WEBER BOWMAN PMHNP-BC (NPI 1457021354) is an individual psychiatric/mental health provider in Kingsport, Tennessee, licensed in Tennessee (30297) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of East Tennessee State University Quillen College Of Medicine (2021).

NPPES Registry Identity

NPI1457021354
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJACQLYNE WEBER BOWMANCredential: PMHNP-BC
Location Address1570 WAVERLY RDKingsport, TN 37664-2523
Mailing Address1167 Spratlin Park DrGray, TN 37615-6205 · (423) 467-3600 · Fax (423) 467-3600
Phone(423) 224-1300
Fax(423) 224-1375
Sole ProprietorYes
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2021
Enumeration DateSeptember 14, 2021
NPPES CertifiedSeptember 14, 2021
✔ NPI 1457021354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TN · 30297
1570 WAVERLY RD, Kingsport, TN 37664
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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

Jacqlyne Weber Bowman Pmhnp-bc 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 ID1850780131
PECOS Enrollment IDI20211106000227
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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37664 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

GLORIA MICHELLE CHRISTY BS
Case Manager/Care Coordinator
1570 WAVERLY RD
KINGSPORT, TN 37664
Sullivan County (423) 224-1300
MS. KRISTY MAE TIPTON LPC
Counselor (Professional)
1570 WAVERLY RD
KINGSPORT, TN 37664
Sullivan County (423) 224-1300
TROY VINCENT ELLIOTT BS
Case Manager/Care Coordinator
1570 WAVERLY RD
KINGSPORT, TN 37664
Sullivan County (423) 224-1300
MATTHEW ANDREWS LCSW
Social Worker (Clinical)
1570 WAVERLY RD
KINGSPORT, TN 37664
Sullivan County (423) 224-1300
MRS. RITA DAWN HUTTON BS
Case Manager/Care Coordinator
1570 WAVERLY RD, HOLSTON COUNSELING CENTER
KINGSPORT, TN 37664
Sullivan County (423) 224-1300
PAMELA FAYE HALLETT REGISTERED NURSE RNC
Registered Nurse
1570 WAVERLY RD, HOLSTON COUNSELING
KINGSPORT, TN 37664
Sullivan County (423) 224-1300
SHERRY CHAPMAN
Case Manager/Care Coordinator
1570 WAVERLY RD
KINGSPORT, TN 37664
Sullivan County (423) 224-1300
DR. RAJESH SHIVAJI KADAM M.D.
Psychiatry & Neurology (Psychiatry)
1570 WAVERLY RD
KINGSPORT, TN 37664
Sullivan County (423) 224-1300

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 Jacqlyne Bowman's NPI number?

The NPI number for Jacqlyne Bowman is 1457021354. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Jacqlyne Bowman located?

Jacqlyne Bowman practices at 1570 Waverly Rd, Kingsport, TN 37664. The listed phone number is (423) 224-1300.

What is Jacqlyne Bowman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jacqlyne Bowman enrolled in Medicare?

Yes. Jacqlyne 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 Jacqlyne Bowman accept?

Health plans from BlueCross BlueShield of Tennessee list Jacqlyne 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.

When was this NPI record last updated?

The NPPES record for Jacqlyne Bowman was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.