GRACIOUS MBOWA (CNP) – Family Nurse Practitioner, NPI 1083194633

GRACIOUS MBOWA (CNP) is a healthcare provider. based in Columbus, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. APRN.CNP.023411 (OH). The NPI Number for GRACIOUS MBOWA (CNP) is 1083194633

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
GRACIOUS MBOWA (CNP)
NPI
1083194633
Phone
(614) 566-5000
Address
3535 OLENTANGY RIVER RD
Enumeration Date
14 August 2018
Last Update Date
14 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6148465420
Graduation Year
2018 (8 years ago)
PAC ID
2567713787
Group Practice PAC ID
5395098339
Professional Enrollment ID
I20180926002504
Address ID
OH432293602CO5700XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for GRACIOUS MBOWA (CNP)

  • Riverside Methodist Hospital, 3535, Olentangy River Road, Olentangy West, Columbus, Sharon, Franklin, Ohio, 43214, United States

    COLUMBUS, OH 432143908

    Phone: (614) 566-5000

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-05-23 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-23

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: 2018-09-26

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
I20180926002504INurse PractitionerOHTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes40074$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes36986$0
99491Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month3511$0
View full utilization report →

Insurance plans in this area (ZIP 43214)

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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: 5395098339View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineMI
Nurse PractitionerGA
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerOH
Physician AssistantMI
Nurse PractitionerTN
Nurse PractitionerOH
Nurse PractitionerNC
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the standard ID for GRACIOUS MBOWA (CNP) in the U.S.?
In the U.S., GRACIOUS MBOWA (CNP) is identified by NPI 1083194633.
Is GRACIOUS MBOWA (CNP) currently accepting referrals based on NPI status?
Registry metadata lists GRACIOUS MBOWA (CNP) as active.
What services align with GRACIOUS MBOWA (CNP)'s listing?
GRACIOUS MBOWA (CNP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is GRACIOUS MBOWA (CNP) tied to Columbus, Ohio?
If you are local to Columbus, Ohio, GRACIOUS MBOWA (CNP) may be relevant to your search.
Why is information missing for GRACIOUS MBOWA (CNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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