MR. JAMES EDWARD COWGER JR. APN
NPI 1902056138
Nurse Practitioner - Family in Flora, IL

Q: What is James Cowger's NPI number?

The NPI number for James Cowger is 1902056138. It was assigned to this individual provider in the NPPES registry on September 24, 2008.

Q: What is James Cowger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for James Cowger was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 24, 2008PECOS EnrolledAccepts Medicare Assignment

929 STACEY BURK DR, FLORA, IL 62839(618) 662-2191(618) 662-8090 Get Directions Write a Review

NPPES record last updated: June 26, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mr. James Edward Cowger Jr. Apn NPPES

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

MR. JAMES EDWARD COWGER JR. APN (NPI 1902056138) is an individual family provider in Flora, Illinois, licensed in Illinois (209.009553) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1902056138

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. JAMES EDWARD COWGER JR.Credential: APN

Location Address929 STACEY BURK DRFlora, IL 62839-3241

Mailing Address929 Stacey Burk Dr, Po Box 40Flora, IL 62839-3241 · (618) 662-2191 · Fax (618) 662-8090

Phone(618) 662-2191

Fax(618) 662-8090

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateSeptember 24, 2008

Last NPPES UpdateJune 26, 2012

✔ NPI 1902056138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209.009553

Also ListedEmergency Medical Technician, ParamedicTaxonomy 146L00000X · License 000593533 (IL)

Also ListedRegistered NurseTaxonomy 163W00000X · License 041.336590 (IL), 2007005874 (MO)

929 STACEY BURK DR, Flora, IL 62839

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Mr. James Edward Cowger Jr. Apn 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 ID6608003819

PECOS Enrollment IDI20131216000155

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 Reassignments

Medicare enrollment records show James Cowger reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Clay

0.1 mi

Critical Access

911 STACEY BURK DR
Flora, IL 62839

Reassigned Medicare billing, Illinois enrollment
65 clinicians in this Medicare group

NPI 1184655136 (618) 662-2131

Sigma Innovation Group PLLC

30 mi

Clinic/Center

20558 E 1400TH AVE
Teutopolis, IL 62467

Reassigned Medicare billing, Illinois enrollment
2 clinicians in this Medicare group

NPI 1033948674 (217) 343-4108

Midwest Emergency Good Samaritan, Inc

34 mi

Emergency Medicine

605 N 12TH ST
Mount Vernon, IL 62864

Reassigned Medicare billing, Illinois enrollment
81 clinicians in this Medicare group

NPI 1629367578 (817) 451-4208

Meds Inpatient Services Associates, Inc

36 mi

Hospitalist

400 N PLEASANT AVE
Centralia, IL 62801

Reassigned Medicare billing, Illinois enrollment
21 clinicians in this Medicare group

NPI 1154215895 (618) 436-8000

Midwest Emergency Centralia Campus Associates, Inc

36 mi

Emergency Medicine

400 NORTH PLEASANT AVENUE
Centralia, IL 62801

Reassigned Medicare billing, Illinois enrollment
69 clinicians in this Medicare group

NPI 1396034245 (817) 451-4208

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

142 services53 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

66 services45 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

65 services48 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

45 services30 patients

Nursing facility discharge day management, 30 minutes or less 99315

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

29 services28 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140034

Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County

Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140046

Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County

Emergency services Birthing friendly

Clay County Hospital

Critical Access Hospitals · Flora, IL

OwnershipGovernment - Local

CMS Certification Number141351

Location911 Stacy Burk DrFlora, IL 62839 · Clay County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62839 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

96%76 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers18 claims18 services$910.91 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers16 claims16 services$118.88 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JESSICA LEWIS MPT

Physical Therapist

929 STACEY BURK DR
FLORA, IL 62839

Clay County (618) 662-8060

SCOUT SANDERS

Social Worker (Clinical)

929 STACEY BURK DR
FLORA, IL 62839

Clay County (618) 662-2131

BRANDON CYCHOLL

Family Medicine

929 STACEY BURK DR, CLAY COUNTY HOSPITAL MEDICAL CLINIC
FLORA, IL 62839

Clay County (618) 662-2131

JENNIFER HENSON RN, CHC

Registered Nurse

929 STACEY BURK DR
FLORA, IL 62839

Clay County (618) 662-2191

MRS. ANGELA CASOLARI APN

Nurse Practitioner (Family)

929 STACEY BURK DR
FLORA, IL 62839

Clay County (618) 662-2191

HEATHER LEIGH IRVIN FNP-C

Nurse Practitioner (Family)

929 STACEY BURK DR
FLORA, IL 62839

Clay County (618) 662-2131

MRS. GAYLE LOAR ERXLEBEN APN

Nurse Practitioner (Adult Health)

929 STACEY BURK DR
FLORA, IL 62839

Clay County (618) 662-2191

MS. JEANNE E. HOLDREN APN

Nurse Practitioner (Psychiatric/Mental Health)

929 STACEY BURK DR
FLORA, IL 62839

Clay County (618) 662-2191

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 James Cowger's NPI number?

The NPI number for James Cowger is 1902056138. It was assigned to this individual provider in the NPPES registry on September 24, 2008.

Where is James Cowger located?

James Cowger practices at 929 Stacey Burk Dr, Flora, IL 62839. The listed phone number is (618) 662-2191.

What is James Cowger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is James Cowger enrolled in Medicare?

Yes. James Cowger 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 James Cowger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Cowger reassigns Medicare benefits to 5 organizations: County Of Clay (Flora, IL), Sigma Innovation Group PLLC (Teutopolis, IL), Midwest Emergency Good Samaritan, Inc (Mount Vernon, IL), Meds Inpatient Services Associates, Inc (Centralia, IL) and Midwest Emergency Centralia Campus Associates, Inc (Centralia, IL). 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 James Cowger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Cowger accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list James Cowger 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 James Cowger affiliated with any hospitals?

According to CMS data, James Cowger is affiliated with Ssm Health St Mary's Hospital -Centralia, Good Samaritan Regional Hlth Center and Clay County Hospital.

When was this NPI record last updated?

The NPPES record for James Cowger was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.