MR. RICHARD EVERETT IV VOWLES (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1619631124

MR. RICHARD EVERETT IV VOWLES (PMHNP-BC) is a healthcare provider. based in Yulee, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. APRN11015856 (FL). The NPI Number for MR. RICHARD EVERETT IV VOWLES (PMHNP-BC) is 1619631124

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MR. RICHARD EVERETT IV VOWLES (PMHNP-BC)
NPI
1619631124
Phone
(904) 225-8280
Address
463142 STATE ROAD 200
Enumeration Date
30 October 2021
Last Update Date
28 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042258280
Graduation Year
2021 (5 years ago)
PAC ID
1355874389
Group Practice PAC ID
2365492881
Professional Enrollment ID
I20241030001187
Address ID
FL320975554YU46314RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MR. RICHARD EVERETT IV VOWLES (PMHNP-BC)

  • 463142 STATE ROAD 200

    YULEE, FL 320975554

    Phone: (904) 225-8280

    Type: Mailing

  • 1806 VAN WERT AVE APT 2

    JACKSONVILLE, FL 322059436

    Phone: (904) 673-1940

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 141 Open Payments records for all available years, with a total value of $2,954.

Total Amount is formed as General ($2,954) + Research ($0) + Ownership ($0) = $2,954.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($808).

Total Amount

$2,954

General + Research + Ownership

Payments

141

Total payment records

General Amount

$2,954

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241030001187INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32097)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365492881View full group profile
NameSpecialtyState
Nurse PractitionerFL
P S Y C H I A T R YFL
Nurse PractitionerFL
Nurse PractitionerFL
Mental Health CounselorFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How do payers reference MR. RICHARD EVERETT IV VOWLES (PMHNP-BC)?
For MR. RICHARD EVERETT IV VOWLES (PMHNP-BC), use NPI 1619631124 as the unique 10-digit identifier.
Is MR. RICHARD EVERETT IV VOWLES (PMHNP-BC) still an active registrant?
MR. RICHARD EVERETT IV VOWLES (PMHNP-BC) carries an active NPI according to the public dataset.
What clinical focus is listed for MR. RICHARD EVERETT IV VOWLES (PMHNP-BC)?
At a glance, MR. RICHARD EVERETT IV VOWLES (PMHNP-BC) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. RICHARD EVERETT IV VOWLES (PMHNP-BC)?
Directory geography for MR. RICHARD EVERETT IV VOWLES (PMHNP-BC) centers on Yulee, Florida.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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