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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SADIE JO BOUWENS
NPI 1508615394
Physician Assistant in Prescott Valley, AZ

Active since May 15, 2024
3131 N MAIN ST APT K207, PRESCOTT VALLEY, AZ 86314(208) 930-5057 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 27, 2026, May 15, 2024 (2 updates tracked since 2024).

About Sadie Jo Bouwens NPPES

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

SADIE JO BOUWENS (NPI 1508615394) is an individual physician assistant in Prescott Valley, Arizona and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1508615394
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSADIE JO BOUWENS
Location Address3131 N MAIN ST APT K207Prescott Valley, AZ 86314-2517
Mailing Address3131 N Main St Apt K207Prescott Valley, AZ 86314-2517 · (208) 930-5057
Phone(208) 930-5057
Sole ProprietorNo
Enumeration DateMay 15, 2024
Last NPPES UpdateAugust 27, 20262 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1508615394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3131 N MAIN ST APT K207, Prescott Valley, AZ 86314
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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 Sadie Bouwens's NPI number?

The NPI number for Sadie Bouwens is 1508615394. It was assigned to this individual provider in the NPPES registry on May 15, 2024.

Where is Sadie Bouwens located?

Sadie Bouwens practices at 3131 N Main St Apt K207, Prescott Valley, AZ 86314. The listed phone number is (208) 930-5057.

What is Sadie Bouwens's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Sadie Bouwens was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.