SAMANTHA L BOWMAN – Physician Assistant, NPI 1104549385

SAMANTHA L BOWMAN is a healthcare provider. based in Dubuque, Iowa. specializing in PHYSICIAN ASSISTANT. The NPI Number for SAMANTHA L BOWMAN is 1104549385

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA L BOWMAN
NPI
1104549385
Phone
(563) 451-5998
Address
2000 UNIVERSITY AVE
Enumeration Date
22 September 2022
Last Update Date
8 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5635898000
Graduation Year
2023 (3 years ago)
PAC ID
6406295757
Group Practice PAC ID
2668467168
Professional Enrollment ID
I20240418003505
Address ID
IA520017320DU250XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness85
Years active:3State licenses:0Digital endpointsOther names

1,648 PHYSICIAN ASSISTANT in IA

Provider Addresses for SAMANTHA L BOWMAN

  • 2000 UNIVERSITY AVE

    DUBUQUE, IA 520015050

    Phone: (563) 451-5998

    Type: Mailing

  • 150 MERCY DR

    DUBUQUE, IA 520017301

    Phone: (563) 584-3480

    Fax: (563) 584-3481

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Novocure Inc. ($27).

Total Amount

$45

General + Research + Ownership

Payments

3

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2024-04-18

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
I20240418003505IPhysician AssistantIATBD

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 52001)

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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: 2668467168View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationIA
Sleep MedicineIA
Nurse PractitionerIL
Radiation OncologyAL
Nurse PractitionerIA
N E U R O L O G YNC
P A T H O L O G YIA
P A T H O L O G YAE
Radiation OncologyPA
Psychiatry, Addiction MedicineIA

Reviews

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Frequently asked questions

What NPI should I save for SAMANTHA L BOWMAN?
Save NPI 1104549385 if you need a stable reference for SAMANTHA L BOWMAN.
Is SAMANTHA L BOWMAN's NPI currently valid?
The extract we use shows SAMANTHA L BOWMAN as active.
What does SAMANTHA L BOWMAN treat or focus on?
Patients typically see SAMANTHA L BOWMAN under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for SAMANTHA L BOWMAN?
The page summarizes Dubuque, Iowa for SAMANTHA L BOWMAN; expand the address list for detail.
How can I contact SAMANTHA L BOWMAN?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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