SHASTA NICOLE BOWENS (APRN FNP-C) – Family Nurse Practitioner, NPI 1013443191

SHASTA NICOLE BOWENS (APRN FNP-C) is a healthcare provider. based in Pikeville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN FNP-C. They hold a License No. 3011297 (KY). The NPI Number for SHASTA NICOLE BOWENS (APRN FNP-C) is 1013443191

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SHASTA NICOLE BOWENS (APRN FNP-C)
NPI
1013443191
Phone
(606) 218-6408
Address
PO BOX 432
Enumeration Date
10 May 2017
Last Update Date
26 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8594975000
Graduation Year
2016 (10 years ago)
PAC ID
7810253705
Group Practice PAC ID
0648294157
Professional Enrollment ID
I20171109000312
Address ID
KY403539792MO225XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for SHASTA NICOLE BOWENS (APRN FNP-C)

  • PO BOX 432

    PIKEVILLE, KY 415020432

    Phone: (606) 218-6408

    Fax: (606) 218-7508

    Type: Mailing

  • 911 BYPASS RD # CLINIC8

    PIKEVILLE, KY 415011689

    Phone: (606) 218-6408

    Fax: (606) 218-7508

    Type: Location

  • 911 Bypass Rd # Clinic8

    Pikeville, KY 415011689

    Phone: (606) 218-6408

    Fax: (606) 218-7508

    Type: Location

  • 1021 W OAKLAND AVE STE 310

    JOHNSON CITY, TN 376042192

    Phone: (423) 302-6565

    Type: Mailing

  • 410 N STATE OF FRANKLIN RD STE 135

    JOHNSON CITY, TN 376046972

    Phone: (423) 431-4866

    Type: Location

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 $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Boston Scientific Corporation ($24).

Total Amount

$61

General + Research + Ownership

Payments

3

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-06

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: 2017-11-09

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
I20171109000312INurse PractitionerKYTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 41502)

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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: 0648294157View full group profile
NameSpecialtyState
Physician AssistantKY
Hospitalist, Internal MedicineNY
Internal MedicineWV
Nurse PractitionerGA
Hospitalist, Internal MedicineMI
Physician AssistantTN
Physician AssistantKY
Physician AssistantKY
Physician AssistantKY
Internal MedicineWV

Reviews

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Frequently asked questions

What number should I use to identify SHASTA NICOLE BOWENS (APRN FNP-C) for billing?
Administrative and clinical systems typically use NPI 1013443191 for SHASTA NICOLE BOWENS (APRN FNP-C).
Is SHASTA NICOLE BOWENS (APRN FNP-C)'s NPI status active today?
Active status means SHASTA NICOLE BOWENS (APRN FNP-C)'s NPI record is not deactivated in the public file.
What does the directory say SHASTA NICOLE BOWENS (APRN FNP-C) does?
Insurance directories may phrase it differently, but here SHASTA NICOLE BOWENS (APRN FNP-C) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SHASTA NICOLE BOWENS (APRN FNP-C)?
SHASTA NICOLE BOWENS (APRN FNP-C) is associated with Pikeville, Kentucky in the same public data insurers reference.
Who maintains SHASTA NICOLE BOWENS (APRN FNP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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