DONALD ANDREW BOWSHER FNP
NPI 1730460528
Nurse Practitioner - Family in Newark, OH
About Donald Andrew Bowsher Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONALD ANDREW BOWSHER FNP (NPI 1730460528) is an individual family provider in Newark, Ohio, licensed in Ohio (APRN.CNP.022820) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Donald Andrew Bowsher Fnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Donald Bowsher reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, OH 43055
- Reassigned Medicare billing, Ohio enrollment
- 280 clinicians in this Medicare group
Columbus, OH 43213
- Reassigned Medicare billing, Ohio enrollment
- 3,314 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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Licking Memorial Hospital
Acute Care Hospitals · Newark, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Donald Bowsher's NPI number?
The NPI number for Donald Bowsher is 1730460528. It was assigned to this individual provider in the NPPES registry on September 7, 2011.
Where is Donald Bowsher located?
Donald Bowsher practices at 1320 W Main St, Newark, OH 43055. The listed phone number is (220) 564-7750.
What is Donald Bowsher's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Donald Bowsher enrolled in Medicare?
Yes. Donald Bowsher 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.
Which organizations bill Medicare for Donald Bowsher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donald Bowsher reassigns Medicare benefits to 2 organizations: Licking Memorial Health Professionals (Newark, OH) and Ohiohealth Corporation (Columbus, OH). 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 Donald Bowsher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donald Bowsher accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list Donald Bowsher 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.
Is Donald Bowsher affiliated with any hospitals?
According to CMS data, Donald Bowsher is affiliated with Licking Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Donald Bowsher was last updated on July 3, 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.
# Donald Andrew Bowsher, FNP · NPI 1730460528
Family physician in Newark, Ohio. Individual provider, active in the CMS NPPES registry since September 7, 2011.
## Identity
- **NPI:** 1730460528 (Entity type: Individual)
- **Enumerated:** September 7, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.022820 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1320 W MAIN ST, Newark, OH 43055-1822
- **Phone:** (220) 564-7750
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Licking Memorial Health Professionals (NPI 1326072265, Newark, OH); Ohiohealth Corporation (NPI 1265627301, Columbus, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** July 3, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1730460528) · Data from the CMS NPPES public registry.