KELLY BOWMAN (MSN, APRN, AGACNP-BC) – Nurse Practitioner, NPI 1386180354
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,328 NURSE PRACTITIONER in OK
Provider Addresses for KELLY BOWMAN (MSN, APRN, AGACNP-BC)
PO BOX 26901
OKLAHOMA CITY, OK 731260901
Phone: (405) 271-4351
Fax: (405) 271-8695
Type: Mailing
1122 NE 13TH ST
OKLAHOMA CITY, OK 731171039
Phone: (405) 271-4351
Fax: (405) 271-8695
Type: Location
Parkland Memorial Hospital, 5200, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75235, United States
DALLAS, TX 752357709
Phone: (469) 419-0616
Fax: (469) 419-1591
Type: Mailing
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 $244.
Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.
Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Boston Scientific Corporation ($195).
Total Amount
$244
General + Research + Ownership
Payments
3
Total payment records
General Amount
$244
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $195 |
| CONMED Corporation | $49 |
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: 2024-12-06
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170224000636 | I | Nurse Practitioner | TX | TBD |
| I20200403001371 | I | Nurse Practitioner | WI | TBD |
| I20201120000919 | I | Nurse Practitioner | MT | TBD |
| I20210928002213 | I | Nurse Practitioner | KY | TBD |
| I20241021002263 | I | Nurse Practitioner | VA | TBD |
| I20241206002521 | I | Nurse Practitioner | IA | TBD |
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.
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 73126)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Cardiac Surgery | OH | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Sleep Medicine, Internal Medicine | FL | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | VA | |
| Critical Care (Intensivists) | VA | |
| Critical Care (Intensivists), Pulmonary Disease | VA | |
| Critical Care (Intensivists) | VA | |
| Pulmonary Disease | VA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | VA |
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