JASON MYLIS BOWERS (LCSW) – Clinical Social Worker, NPI 1346627940

JASON MYLIS BOWERS (LCSW) is a healthcare provider. based in Port huron, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 2017018004 (MO). The NPI Number for JASON MYLIS BOWERS (LCSW) is 1346627940

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JASON MYLIS BOWERS (LCSW)
NPI
1346627940
Phone
(810) 966-0099
Address
1024 Superior St
Enumeration Date
4 May 2015
Last Update Date
30 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6208482371
Graduation Year
2014 (12 years ago)
PAC ID
2264795186
Group Practice PAC ID
0446152433
Professional Enrollment ID
I20250527002007
Address ID
KS667704185RI6610XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,820 CLINICAL SOCIAL WORKER in MI

Provider Addresses for JASON MYLIS BOWERS (LCSW)

  • 1024 Superior St

    Port Huron, MI 480603748

    Phone: (810) 966-0099

    Fax: (810) 696-7339

    Type: Location

  • 1617 Holland Ave

    Port Huron, MI 480601517

    Phone: (810) 966-0099

    Fax: (810) 696-7339

    Type: Location

  • 912B State Highway 59

    Goodman, MO 648438252

    Phone: (417) 364-7290

    Fax: (417) 364-7290

    Type: Location

  • 1355 Rocketdyne Rd

    Neosho, MO 648503106

    Phone: (417) 451-7425

    Fax: (417) 451-7455

    Type: Location

  • 5615 W 32nd St

    Joplin, MO 64804

    Phone: (417) 556-8400

    Type: Location

  • P.O. BOX 4692

    JOPLIN, MO 648034692

    Phone: (417) 782-7966

    Fax: (417) 624-4558

    Type: Mailing

  • 5615 W 32ND ST

    JOPLIN, MO 64804

    Phone: (417) 556-8400

    Type: Location

  • 104 E MAIN ST

    ANDERSON, MO 648314103

    Phone: (417) 845-6984

    Fax: (417) 845-6976

    Type: Location

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: 2025-05-27

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
I20250527002007IClinical Social WorkerKSTBD

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 48060)

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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: 0446152433View full group profile
NameSpecialtyState
Nurse PractitionerKS

Reviews

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Frequently asked questions

Does JASON MYLIS BOWERS (LCSW) have a public NPI I can cite?
Public records show JASON MYLIS BOWERS (LCSW) under NPI 1346627940.
Should I treat JASON MYLIS BOWERS (LCSW) as an active provider?
Patients and plans typically see JASON MYLIS BOWERS (LCSW) as active in the national extract.
What services align with JASON MYLIS BOWERS (LCSW)'s listing?
JASON MYLIS BOWERS (LCSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JASON MYLIS BOWERS (LCSW)?
JASON MYLIS BOWERS (LCSW) is associated with Port Huron, Michigan in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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