BETHANY ILENE BOWEN (FNP) – Nurse Practitioner, NPI 1609293372

BETHANY ILENE BOWEN (FNP) is a healthcare provider. based in O fallon, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 209011356 (IL). The NPI Number for BETHANY ILENE BOWEN (FNP) is 1609293372

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
BETHANY ILENE BOWEN (FNP)
NPI
1609293372
Phone
(618) 726-2500
Address
4965 Stone Falls Ctr Ste 7
Enumeration Date
19 March 2014
Last Update Date
4 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182368000
Graduation Year
2013 (13 years ago)
PAC ID
9335464361
Group Practice PAC ID
6800784083
Professional Enrollment ID
I20150213000546
Address ID
IL622692965SH1418XSTXX315
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for BETHANY ILENE BOWEN (FNP)

  • 4965 Stone Falls Ctr Ste 7

    O Fallon, IL 622697803

    Phone: (618) 726-2500

    Type: Location

  • 1418 CROSS ST STE 250

    SHILOH, IL 622692965

    Phone: (618) 236-8000

    Type: Mailing

  • 131 SAUNDERSVILLE RD STE 160

    HENDERSONVILLE, TN 370758940

    Phone: (314) 317-0184

    Type: Mailing

  • 4965 STONE FALLS CTR STE 7

    O FALLON, IL 622697803

    Phone: (618) 726-2500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 121 Open Payments records for all available years, with a total value of $1,925.

Total Amount is formed as General ($1,925) + Research ($0) + Ownership ($0) = $1,925.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($473).

Total Amount

$1,925

General + Research + Ownership

Payments

121

Total payment records

General Amount

$1,925

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150213000546INurse PractitionerILTBD
I20191115001711INurse PractitionerMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg1,85016$0
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml41330$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg35349$0
99213Established patient office or other outpatient visit, 20-29 minutes238126$0
99214Established patient office or other outpatient visit, 30-39 minutes202115$0
View full utilization report →

Insurance plans in this area (ZIP 62269)

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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: 6800784083View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL
Family PracticeIL
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
G A S T R O E N T E R O L O G YGA
Physician AssistantIL
-MO
Gastroenterology, Gastroenterology, Internal MedicineOH

Reviews

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Frequently asked questions

What NPI should I save for BETHANY ILENE BOWEN (FNP)?
Save NPI 1609293372 if you need a stable reference for BETHANY ILENE BOWEN (FNP).
Is BETHANY ILENE BOWEN (FNP)'s NPI currently valid?
The extract we use shows BETHANY ILENE BOWEN (FNP) as active.
What field does BETHANY ILENE BOWEN (FNP) work in?
You can think of BETHANY ILENE BOWEN (FNP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is BETHANY ILENE BOWEN (FNP)'s primary listing?
We display O Fallon, Illinois because that is what the record indicates for BETHANY ILENE BOWEN (FNP).
Is BETHANY ILENE BOWEN (FNP) a real provider?
This page reflects official NPPES data for NPI 1609293372. Always confirm identity and privileges with the practice and licensing boards.

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