CAROL PATRICIA ROBERTINE BOWEN-WELLS MD NPI 1174710982

NPI Information

  • NPI: 1174710982
  • Provider Name: CAROL PATRICIA ROBERTINE BOWEN-WELLS, MD
  • Classification: Surgery - 2086X0206X
  • Specialization: Surgical Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3 SHIRCLIFF WAY
    SUITE 630
    JACKSONVILLE, FL
    ZIP 32204
  • Phone: (904) 281-5878

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NPI Details

Carol Patricia Robertine Bowen-wells, MD is a surgical oncology surgery in Jacksonville, FL with 28 years of experience. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. Carol Patricia Robertine Bowen-wells, MD NPI is 1174710982. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3 SHIRCLIFF WAY
SUITE 630
JACKSONVILLE, FL
ZIP 32204-776
Phone: (904) 281-5878
Fax: (904) 645-5856

The NPI 1174710982 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Epifix, per square centimeter (HCPCS:Q4186)
  • Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15271)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Application of chemical to stop tissue regrowth in wound (HCPCS:17250)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 9/26/2007 and was last updated on 3/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery41473KENTUCKYNo
22086X0206XSurgerySurgical Oncology41473KENTUCKYNo
32086X0206XSurgerySurgical OncologyME104932FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
137903705OTHERKENTUCKYMEDICAID LAB GROUP
24000501OTHERKENTUCKYMEDICARE LAB GROUP
3CI656ZMEDICARE PINFLORIDA
40092728MEDICARE PINKENTUCKY
50013091-00MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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