DUSTIN MICHAEL COWAN (FNP-C) – Family Nurse Practitioner, NPI 1073300901

DUSTIN MICHAEL COWAN (FNP-C) is a healthcare provider. based in Bristol, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. SP030242 (PA). The NPI Number for DUSTIN MICHAEL COWAN (FNP-C) is 1073300901

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DUSTIN MICHAEL COWAN (FNP-C)
NPI
1073300901
Phone
(859) 321-3173
Address
200 RITTENHOUSE CIR STE 4
Enumeration Date
23 April 2025
Last Update Date
24 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2672251295
Graduation Year
2020 (6 years ago)
PAC ID
4486172582
Group Practice PAC ID
0345695268
Professional Enrollment ID
I20250513000931
Address ID
PA190071623BR200XXBUIL501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

11,469 NURSE PRACTITIONER in PA

Provider Addresses for DUSTIN MICHAEL COWAN (FNP-C)

  • 200 RITTENHOUSE CIR STE 4

    BRISTOL, PA 190071619

    Phone: (859) 321-3173

    Type: Mailing

  • 200 RITTENHOUSE CIR BLDG 4

    BRISTOL, PA 190071619

    Phone: (859) 321-3173

    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: 2025-05-13

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
I20250513000931INurse PractitionerPATBD

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 19007)

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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: 0345695268View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Colorectal Surgery (Proctology), General SurgeryPA

Reviews

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Frequently asked questions

Does DUSTIN MICHAEL COWAN (FNP-C) have a public NPI I can cite?
Public records show DUSTIN MICHAEL COWAN (FNP-C) under NPI 1073300901.
Should I treat DUSTIN MICHAEL COWAN (FNP-C) as an active provider?
Patients and plans typically see DUSTIN MICHAEL COWAN (FNP-C) as active in the national extract.
What services align with DUSTIN MICHAEL COWAN (FNP-C)'s listing?
DUSTIN MICHAEL COWAN (FNP-C)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to DUSTIN MICHAEL COWAN (FNP-C)?
DUSTIN MICHAEL COWAN (FNP-C) shows a connection to Bristol, Pennsylvania in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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