MRS. KRISTY LEIGH GOWEN (APRN) – Registered Nurse, NPI 1427467505
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MRS. KRISTY LEIGH GOWEN (APRN)
905 DILWORTH ST
SAINT MARYS, GA 315588695
Phone: (912) 882-8515
Fax: (912) 882-2072
Type: Location
202 HALIFAX DR
WOODBINE, GA 315693633
Phone: (912) 467-3412
Type: Mailing
510 Airport Center Dr
Jacksonville, FL 322187260
Phone: (904) 696-0055
Fax: (904) 551-6533
Type: Location
96279 Brady Point Rd
Fernandina, FL 320347076
Phone: (904) 430-7113
Fax: (904) 321-0016
Type: Location
3435 SECOND ST S
FOLKSTON, GA 315378447
Phone: (912) 467-0041
Fax: (912) 496-0053
Type: Location
288 PLANTATION PT
WOODBINE, GA 315692115
Phone: (912) 467-3412
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2023-02-01 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $26 |
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: 2024-06-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240613000603 | I | Nurse Practitioner | GA | TBD |
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.
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 31558)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | FL | |
| Family Practice | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.