MATTHEW LAWRENCE BOWERS (AGACNP-BC) – Gerontology Nurse Practitioner, NPI 1215703657

MATTHEW LAWRENCE BOWERS (AGACNP-BC) is a healthcare provider. based in Southfield, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. 4704329354 (MI). The NPI Number for MATTHEW LAWRENCE BOWERS (AGACNP-BC) is 1215703657

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW LAWRENCE BOWERS (AGACNP-BC)
NPI
1215703657
Phone
Not provided
Address
26901 BEAUMONT BLVD
Enumeration Date
28 November 2023
Last Update Date
4 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2482530330
Graduation Year
2023 (3 years ago)
PAC ID
2365893161
Group Practice PAC ID
1052207115
Professional Enrollment ID
I20240105001640
Address ID
MI483415045PO44200AVEX311

Contacts

Secure Messaging
mbowers2891179@epic00.corewelldirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness95
Years active:2State licenses:1Other names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MATTHEW LAWRENCE BOWERS (AGACNP-BC)

  • 26901 BEAUMONT BLVD

    SOUTHFIELD, MI 480333849

    Phone:

    Type: Mailing

  • 3601 W 13 MILE RD

    ROYAL OAK, MI 480736712

    Phone: (248) 898-4021

    Type: Location

  • 44405 Woodward Ave

    Pontiac, MI 483415023

    Phone: (248) 494-1358

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $1,318.

Total Amount is formed as General ($1,318) + Research ($0) + Ownership ($0) = $1,318.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: CALLIDITAS THERAPEUTICS US INC. ($170).

Total Amount

$1,318

General + Research + Ownership

Payments

41

Total payment records

General Amount

$1,318

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2024-01-05

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
I20240105001640INurse PractitionerMITBD

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 48033)

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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: 1052207115View full group profile
NameSpecialtyState
N E P H R O L O G YMI
Nephrology, Internal MedicineMI
Nephrology, Internal MedicineMI
Nurse PractitionerMI
Nephrology, Internal MedicineMI
Nurse PractitionerMI
Internal MedicineMI
Nephrology, Internal MedicineMI
Nurse PractitionerMI
Nephrology, Internal MedicineMI

Reviews

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Frequently asked questions

Can I use this page to confirm MATTHEW LAWRENCE BOWERS (AGACNP-BC)'s NPI?
Yes. MATTHEW LAWRENCE BOWERS (AGACNP-BC) is listed with NPI 1215703657 in the public NPI dataset.
Can I rely on MATTHEW LAWRENCE BOWERS (AGACNP-BC) being an active provider?
As of the registry snapshot, MATTHEW LAWRENCE BOWERS (AGACNP-BC) is marked active.
What taxonomy line describes MATTHEW LAWRENCE BOWERS (AGACNP-BC)?
For research purposes, treat MATTHEW LAWRENCE BOWERS (AGACNP-BC) as Gerontology Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does MATTHEW LAWRENCE BOWERS (AGACNP-BC) list a practice location?
Patients near Southfield, Michigan may find MATTHEW LAWRENCE BOWERS (AGACNP-BC) in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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