SHAUN BREWSTER BOWKER PA
NPI 1790455160
Physician Assistant - Medical in Fresno, CA

Q: What is Shaun Bowker's NPI number?

The NPI number for Shaun Bowker is 1790455160. It was assigned to this individual provider in the NPPES registry on September 17, 2021.

Q: What is Shaun Bowker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Shaun Bowker was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 17, 2021PECOS EnrolledAccepts Medicare Assignment

2823 FRESNO ST, FRESNO, CA 93721(559) 443-2682 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2023, Sep 17, 2021 (2 updates tracked since 2021).

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About Shaun Brewster Bowker Pa NPPES

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

SHAUN BREWSTER BOWKER PA (NPI 1790455160) is an individual medical provider in Fresno, California, licensed in California (62373) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790455160

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameSHAUN BREWSTER BOWKERCredential: PA

Location Address2823 FRESNO STFresno, CA 93721-1324

Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681

Phone(559) 443-2682

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 17, 2021

Last NPPES UpdateMay 1, 20232 updates tracked since enumeration

NPPES CertifiedMay 1, 2023

✔ NPI 1790455160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · 62373

2823 FRESNO ST, Fresno, CA 93721

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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

Shaun Brewster Bowker Pa 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 ID2466819925

PECOS Enrollment IDI20230530000385

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

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

45 services45 patients

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.

MICHELLE LEA STORKAN M.D.

Emergency Medicine