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DEREK BOWMAN
NPI 1942921663
Nurse Practitioner - Family in Washington, PA

Active since September 09, 2022PECOS EnrolledAccepts Medicare Assignment
37 HIGHLAND AVE, WASHINGTON, PA 15301(724) 223-1067 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derek Bowman NPPES

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

DEREK BOWMAN (NPI 1942921663) is an individual family provider in Washington, Pennsylvania, licensed in Pennsylvania (SP025999) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, is affiliated with Washington Hospital, The, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1942921663
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDEREK BOWMAN
Location Address37 HIGHLAND AVEWashington, PA 15301-4062
Mailing Address1070 Old National PikeFredericktown, PA 15333-2114 · (724) 632-6801
Phone(724) 223-1067
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 9, 2022
NPPES CertifiedSeptember 9, 2022
✔ NPI 1942921663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP025999
37 HIGHLAND AVE, Washington, PA 15301
Open in Google Maps ↗

Accepted Insurance

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

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

Derek Bowman 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 ID6406226562
PECOS Enrollment IDI20230105002507
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.

Hospital Affiliations CMS Care Compare

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

Washington Hospital, The

Acute Care Hospitals · Washington, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390042
Location155 Wilson AvenueWashington, PA 15301 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15301 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 20

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

JENNIFER LYNN BOYD DENTIAL HYGIENIST
Dental Hygienist
37 HIGHLAND AVE
WASHINGTON, PA 15301
Washington County (724) 223-1067
KARA PAIGE COMPTON LPC
Counselor (Mental Health)
37 HIGHLAND AVE
WASHINGTON, PA 15301
Washington County (724) 223-1067
MICHELLE M COHEN CRNP
Nurse Practitioner (Psychiatric/Mental Health)
37 HIGHLAND AVE
WASHINGTON, PA 15301
Washington County (724) 223-1067
MARIA R BENING MD
Family Medicine
37 HIGHLAND AVE
WASHINGTON, PA 15301
Washington County (724) 223-1067
MR. JOHN REED BEABOUT JR. CRNP
Nurse Practitioner (Family)
37 HIGHLAND AVE
WASHINGTON, PA 15301
Washington County (724) 223-1067
JOSHUA JAMES BASILONE FNP-C
Nurse Practitioner (Family)
37 HIGHLAND AVE
WASHINGTON, PA 15301
Washington County (724) 223-1067
MRS. AMY LYNN GOODWIN CRNP FNP-C
Nurse Practitioner (Family)
37 HIGHLAND AVE
WASHINGTON, PA 15301
Washington County (724) 223-1067
NARAYAN SUBEDI DNP CRNP
Nurse Practitioner (Family)
37 HIGHLAND AVE
WASHINGTON, PA 15301
Washington County (724) 632-6801

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 Derek Bowman's NPI number?

The NPI number for Derek Bowman is 1942921663. It was assigned to this individual provider in the NPPES registry on September 9, 2022.

Where is Derek Bowman located?

Derek Bowman practices at 37 Highland Ave, Washington, PA 15301. The listed phone number is (724) 223-1067.

What is Derek Bowman's specialty?

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

Is Derek Bowman enrolled in Medicare?

Yes. Derek Bowman 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.

What insurance does Derek Bowman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Derek Bowman 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 Derek Bowman affiliated with any hospitals?

According to CMS data, Derek Bowman is affiliated with Washington Hospital, The.

When was this NPI record last updated?

The NPPES record for Derek Bowman was last updated on September 9, 2022. 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.