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TANISHA AKYRA BOWEN
NPI 1467285429
Nurse Practitioner - Family in Amityville, NY

Active since August 23, 2024PECOS Enrolled
11 DR REED BLVD, AMITYVILLE, NY 11701(718) 594-2824 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tanisha Akyra Bowen NPPES

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

TANISHA AKYRA BOWEN (NPI 1467285429) is an individual family provider in Amityville, New York, licensed in New York (F-354297) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467285429
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTANISHA AKYRA BOWEN
Location Address11 DR REED BLVDAmityville, NY 11701-1219
Mailing Address11 Dr Reed BlvdAmityville, NY 11701-1219 · (718) 594-2824
Phone(718) 594-2824
Sole ProprietorYes
Enumeration DateAugust 23, 2024
NPPES CertifiedAugust 23, 2024
✔ NPI 1467285429 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 NY · F-354297
11 DR REED BLVD, Amityville, NY 11701
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanisha Akyra Bowen 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 Reassignment

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

Infinite Medical PC
130 mi
Family Medicine
7 CREEK LN
Bristol, RI 02809
  • Reassigned Medicare billing, New York enrollment
  • 188 clinicians in this Medicare group
NPI 1407483175 (718) 964-6161

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 11701 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Tanisha Bowen's NPI number?

The NPI number for Tanisha Bowen is 1467285429. It was assigned to this individual provider in the NPPES registry on August 23, 2024.

Where is Tanisha Bowen located?

Tanisha Bowen practices at 11 Dr Reed Blvd, Amityville, NY 11701. The listed phone number is (718) 594-2824.

What is Tanisha Bowen's specialty?

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

Is Tanisha Bowen enrolled in Medicare?

Yes. Tanisha Bowen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tanisha Bowen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanisha Bowen reassigns Medicare benefits to Infinite Medical PC (Bristol, RI). The 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 Tanisha Bowen'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 Tanisha Bowen was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.