Shasta Nicole Bowens, APRN FNP-C - Medicare Nurse Practitioner in Johnson City, TN

Shasta Nicole Bowens, APRN FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, Tennessee. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Blue Ridge Medical Management Corporation and her current practice location is 410 N State Of Franklin Rd Ste 135, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 431-4866.

Shasta Nicole Bowens is licensed to practice in Kentucky (license number 3011297) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013443191.

Contact Information

Shasta Nicole Bowens, APRN FNP-C
410 N State Of Franklin Rd Ste 135,
Johnson City, TN 37604-6972
(423) 431-4866
Not Available

Map and Direction




Provider's Profile

Full NameShasta Nicole Bowens
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location410 N State Of Franklin Rd Ste 135, Johnson City, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shasta Nicole Bowens graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1013443191
  • Provider Enumeration Date: 05/10/2017
  • Last Update Date: 02/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7810253705
  • Enrollment ID: I20190530002257

Medical Identifiers

Medical identifiers for Shasta Nicole Bowens such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013443191NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3011297 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Johnson City Medical CenterJohnson city, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blue Ridge Medical Management Corporation9739099441308

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shasta Nicole Bowens allows following entities to bill medicare on her behalf.
Entity NameBlue Ridge Medical Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144380833
PECOS PAC ID: 9739099441
Enrollment ID: O20031204000996

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shasta Nicole Bowens is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shasta Nicole Bowens, APRN FNP-C
1021 W Oakland Ave Ste 310,
Johnson City, TN 37604-2192

Ph: (423) 302-6565
Shasta Nicole Bowens, APRN FNP-C
410 N State Of Franklin Rd Ste 135,
Johnson City, TN 37604-6972

Ph: (423) 431-4866

Reviews and Comments


Nurse Practitioner Nurses in Johnson City, TN

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Phone: 423-282-3379    Fax: 423-430-6227
Michael David Smith, NURSE PRACTITIONER
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Shelly J Mcintosh, FNP
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Medicare: Not Enrolled in Medicare
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Phone: 423-794-5520    Fax: 423-282-0720
Miss Samantha Manuel I, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1021 W Oakland Ave, Suite 301, Johnson City, TN 37604
Phone: 423-952-8000    Fax: 423-952-8001

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.