JOHN BOWERY (DO) – Family Medicine Physician, NPI 1669565461

JOHN BOWERY (DO) is a healthcare provider. based in Shenandoah, Iowa. specializing in Family Medicine Physician. They hold the professional credentials DO. They hold a License No. 02434 (IA). The NPI Number for JOHN BOWERY (DO) is 1669565461

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
JOHN BOWERY (DO)
NPI
1669565461
Phone
(712) 246-1230
Address
300 PERSHING AVE
Enumeration Date
2 October 2006
Last Update Date
28 February 2012

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
7122461230
Graduation Year
1989 (37 years ago)
PAC ID
3870584667
Group Practice PAC ID
9436063237
Professional Enrollment ID
I20040623001510
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN BOWERY (DO)

  • Shenandoah Medical Center, 300, Pershing Avenue, Shenandoah, Page County, Iowa, 51601, United States

    SHENANDOAH, IA 516012355

    Phone: (712) 246-1230

    Fax: (712) 246-7357

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-06-23

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
I20040623001510IEmergency MedicineIATBD

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 51601)

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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: 9436063237View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineIA
Certified Registered Nurse Anesthetist (Crna)IA
Nephrology, Internal MedicineNE
Nurse PractitionerIA
Nurse PractitionerNE
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerNE
O B S T E T R I C S/ G Y N E C O L O G YIA
Internal MedicineOK

Reviews

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Frequently asked questions

Does JOHN BOWERY (DO) have a public NPI I can cite?
Public records show JOHN BOWERY (DO) under NPI 1669565461.
Does the public listing show JOHN BOWERY (DO) as active?
JOHN BOWERY (DO)'s NPI record reflects an active status in NPPES.
What type of care does JOHN BOWERY (DO) provide?
JOHN BOWERY (DO)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JOHN BOWERY (DO)?
JOHN BOWERY (DO) is associated with Shenandoah, Iowa in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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