KELLY ANN BOWMAN
NPI 1528869476
Student in an Organized Health Care Education/Training Program in Orange, CA

Active since March 24, 2025PECOS Enrolled
101 THE CITY DR S STE 400, ORANGE, CA 92868(714) 456-5691 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Ann Bowman NPPES

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

KELLY ANN BOWMAN (NPI 1528869476) is an individual student in an organized health care education/training program in Orange, California and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528869476
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY ANN BOWMAN
Location Address101 THE CITY DR S STE 400Orange, CA 92868-3201
Mailing Address3865 Beecher St NwWashington, DC 20007-1802 · (856) 912-2822
Sole ProprietorYes
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
NPI 1528869476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
101 THE CITY DR S STE 400, Orange, CA 92868

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Ann Bowman 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.

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.

Student in an Organized Health Care Education/Training Program
101 THE CITY DR S STE 400
ORANGE, CA 92868
Student in an Organized Health Care Education/Training Program
101 THE CITY DR S STE 400
ORANGE, CA 92868
Student in an Organized Health Care Education/Training Program
101 THE CITY DR S STE 400
ORANGE, CA 92868
Student in an Organized Health Care Education/Training Program
101 THE CITY DR S STE 400
ORANGE, CA 92868
Student in an Organized Health Care Education/Training Program
101 THE CITY DR S STE 400
ORANGE, CA 92868
Student in an Organized Health Care Education/Training Program
101 THE CITY DR S STE 400
ORANGE, CA 92868
Student in an Organized Health Care Education/Training Program
101 THE CITY DR S STE 400
ORANGE, CA 92868
Psychiatry & Neurology (Neurology)
101 THE CITY DR S STE 400
ORANGE, CA 92868

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 Kelly Bowman's NPI number?

The NPI number for Kelly Bowman is 1528869476. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Kelly Bowman located?

Kelly Bowman practices at 101 The City Dr S Ste 400, Orange, CA 92868. The listed phone number is (714) 456-5691.

What is Kelly Bowman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelly Bowman enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Bowman was last updated on March 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.