DR. STEPHANIE MARIE BOUWER DO
NPI 1780200485
Family Medicine in Jacksonville, NC

Q: What is Stephanie Bouwer's NPI number?

The NPI number for Stephanie Bouwer is 1780200485. It was assigned to this individual provider in the NPPES registry on June 19, 2020.

Q: What is Stephanie Bouwer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Bouwer was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 19, 2020PECOS EnrolledAccepts Medicare Assignment

1000 BRABHAM AVE, JACKSONVILLE, NC 28546(910) 937-2570(910) 219-1270 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2025, Oct 12, 2023, Jun 19, 2020 (3 updates tracked since 2020).

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About Dr. Stephanie Marie Bouwer Do NPPES

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

DR. STEPHANIE MARIE BOUWER DO (NPI 1780200485) is an individual family medicine provider in Jacksonville, North Carolina, licensed in Pennsylvania (OS023286) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Onslow Memorial Hospital, and maintains a secondary practice location in State College.

NPPES Registry Identity

NPI1780200485

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. STEPHANIE MARIE BOUWERCredential: DO

Location Address1000 BRABHAM AVEJacksonville, NC 28546-5003

Mailing Address1850 E Park Ave Ste 207State College, PA 16803-6706 · (814) 235-2480

Phone(910) 937-2570

Fax(910) 219-1270

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2020

Enumeration DateJune 19, 2020

Last NPPES UpdateMay 28, 20253 updates tracked since enumeration

NPPES CertifiedMay 28, 2025

✔ NPI 1780200485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · OS023286

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1000 BRABHAM AVE, Jacksonville, NC 28546

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Secondary Practice Location 1

Location 11850 E Park Ave Ste 207State College, PA 16803-6706 · Phone (814) 235-2480

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephanie Marie Bouwer Do 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 ID9335596741

PECOS Enrollment IDI20250418001708

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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

58 services39 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

44 services33 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

33 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340042

Location317 Western BoulevardJacksonville, NC 28540 · Onslow County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28546 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY GARDNER RICH MD

Family Medicine