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KISHA L BOWEN
NPI 1740155183
Nurse Practitioner - Acute Care in Maywood, IL

Active since October 07, 2025PECOS EnrolledAccepts Medicare Assignment
1234 S 13TH AVE, MAYWOOD, IL 60153(708) 670-2835 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 25, 2026, Oct 7, 2025 (2 updates tracked since 2025).

About Kisha L Bowen NPPES

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

KISHA L BOWEN (NPI 1740155183) is an individual acute care provider in Maywood, Illinois, licensed in Illinois (209.032790) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1740155183
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKISHA L BOWEN
Location Address1234 S 13TH AVEMaywood, IL 60153-1830
Mailing Address1234 S 13th AveMaywood, IL 60153-1830 · (708) 670-2835
Phone(708) 670-2835
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 7, 2025
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1740155183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in IL · 209.032790
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 209.032790 (IL)
1234 S 13TH AVE, Maywood, IL 60153
Open in Google Maps ↗

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

Kisha L Bowen 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.

PECOS PAC ID4284127770
PECOS Enrollment IDI20260824000952
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 Kisha Bowen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vitae Health Medical Illinois, PLLC
13 mi
Internal Medicine
3450 OAKTON ST
Skokie, IL 60076
  • Reassigned Medicare billing, Illinois enrollment
  • 491 clinicians in this Medicare group
NPI 1174013452 (224) 777-8034

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 60153 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 Kisha Bowen's NPI number?

The NPI number for Kisha Bowen is 1740155183. It was assigned to this individual provider in the NPPES registry on October 7, 2025.

Where is Kisha Bowen located?

Kisha Bowen practices at 1234 S 13th Ave, Maywood, IL 60153. The listed phone number is (708) 670-2835.

What is Kisha Bowen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kisha Bowen enrolled in Medicare?

Yes. Kisha Bowen 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 organization bills Medicare for Kisha Bowen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kisha Bowen reassigns Medicare benefits to Vitae Health Medical Illinois, PLLC (Skokie, IL). 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 Kisha 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 Kisha Bowen was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.