DR. SANDY A BOWERSOX PHD
NPI 1629248877
Psychologist - Clinical Child & Adolescent in Evansville, IN
About Dr. Sandy A Bowersox Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SANDY A BOWERSOX PHD (NPI 1629248877) is an individual clinical child & adolescent provider in Evansville, Indiana, licensed in Indiana (20042330A) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Sandy A Bowersox Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Sandy Bowersox reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Evansville, IN 47750
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: St Marys Medical Group LLC
- 288 clinicians in this Medicare group
Evansville, IN 47714
- Reassigned Medicare billing, Indiana enrollment
- 294 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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EVANSVILLE, IN 47714
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 Sandy Bowersox's NPI number?
The NPI number for Sandy Bowersox is 1629248877. It was assigned to this individual provider in the NPPES registry on March 4, 2008.
Where is Sandy Bowersox located?
Sandy Bowersox practices at 3900 Washington Ave Ste 100, Evansville, IN 47714. The listed phone number is (812) 485-6694.
What is Sandy Bowersox's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.
Is Sandy Bowersox enrolled in Medicare?
Yes. Sandy Bowersox is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Sandy Bowersox's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandy Bowersox reassigns Medicare benefits to 2 organizations: St Mary's Medical Group, LLC (Evansville, IN) and St Vincent Pediatric Subspecialties (Evansville, IN). 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 Sandy Bowersox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sandy Bowersox accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Sandy Bowersox 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 Sandy Bowersox was last updated on June 1, 2022. 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.
# Dr. Sandy A Bowersox, PHD · NPI 1629248877
Clinical Child & Adolescent provider in Evansville, Indiana. Individual provider, active in the CMS NPPES registry since March 4, 2008.
## Identity
- **NPI:** 1629248877 (Entity type: Individual)
- **Enumerated:** March 4, 2008
- **Primary specialty:** Psychologist - Clinical Child & Adolescent · taxonomy 103TC2200X
- **State license:** 20042330A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3900 WASHINGTON AVE, STE 100, Evansville, IN 47714-0550
- **Phone:** (812) 485-6694
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Mary's Medical Group, LLC (NPI 1164852539, Evansville, IN); St Vincent Pediatric Subspecialties (NPI 1851950224, Evansville, IN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1629248877) · Data from the CMS NPPES public registry.