ALLISSA BOWMAN (PA) – Physician Assistant, NPI 1407617368
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for ALLISSA BOWMAN (PA)
2215 MELBOURNE CT
FORT WAYNE, IN 468045841
Phone: (765) 714-5308
Type: Mailing
1717 S CALHOUN ST
FORT WAYNE, IN 468025257
Phone: (260) 458-2641
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $99.
Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.
Last reported payment date: 2024-10-01 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($99).
Total Amount
$99
General + Research + Ownership
Payments
1
Total payment records
General Amount
$99
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $99 |
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: 2024-04-25
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 |
|---|---|---|---|---|
| I20240425002326 | I | Physician Assistant | IN | 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 46804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| C H I R O P R A C T I C | IN | |
| C H I R O P R A C T I C | IN | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| O P T O M E T R Y | IN | |
| Family Practice | IN | |
| Physician Assistant | IN | |
| Physician Assistant | IN | |
| - | IN |
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