MRS. ANGELA H SULLIVAN-BOWMAN (NP-C) – Family Nurse Practitioner, NPI 1063405553
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. ANGELA H SULLIVAN-BOWMAN (NP-C)
McCallie Avenue, Glenwood, Ridgeside, Chattanooga, Hamilton County, Tennessee, 37404, United States
CHATTANOOGA, TN 374043241
Phone: (423) 629-4106
Fax: (423) 629-4116
Type: Mailing
2717 EAST OAKLAND AVENUE
JOHNSON CITY, TN 376011843
Phone: (423) 926-2358
Fax: (423) 926-2680
Type: Mailing
2403 BATTLEFIELD PARKWAY
FT. OGLETHORPE, GA 30742
Phone: (706) 866-7700
Fax: (423) 476-4487
Type: Location
2355 CHAMBLISS AVE NW, SUITE 301
CLEVELAND, TN 37311
Phone: (423) 476-4466
Fax: (423) 476-4487
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 $55.
Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.
Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Abbott Laboratories ($37).
Total Amount
$55
General + Research + Ownership
Payments
3
Total payment records
General Amount
$55
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $37 |
| Merz Pharmaceuticals, LLC | $18 |
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: 2022-07-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040112000479 | I | Nurse Practitioner | TN | TBD |
| I20220705001752 | I | Nurse Practitioner | GA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,280 | 222 | $0 |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 66 | 64 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 16 | 16 | $0 |
Insurance plans in this area (ZIP 37404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | TN |
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