Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457318438 Individual Practitioner Female Practitioner

Kendra D Bowen , PA-C

Physician Assistant • Centralia, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kendra Bowen, PA-C is a certified Physician Assistant practicing in Centralia, IL. With approximately 22 years of clinical experience since completing medical education in 2004, Kendra Bowen delivers high-quality medical care to the local community at 1441 W BROADWAY.

Kendra Bowen is affiliated with Physician Services Corporation Of Southern Illinois Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1441 W Broadway

Centralia, IL 628015613

Telephone 6185329050
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Centralia, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +2.5 yrs vs City Avg
City Avg: 19.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Centralia, IL (4958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bowen (22 Years) 22 Yrs
Centralia Specialty Average (19.5 Years) 19.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample
44 37 $22.00 $8.65

Medical Specialties & State Licenses

CMS Verified: 2020-11-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085003158

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License NY 010234

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rr Medicare Ptan
P00469189 (IL)
Commercial Insurance / Payer ID Med Grp #
208959 (IL)
Commercial Insurance / Payer ID Rr Group #
CE9335 (IL)
Commercial Insurance / Payer ID Med Group #
207988 (IL)

Hospital & Practice Group Affiliations

Physician Services Corporation Of Southern Illinois Inc

1441 W Broadway, Centralia, IL 628015613

Phone: 6185329050

Physician Services Corporation Of Southern Illinois Inc

1003 E Mccord St, Centralia, IL 628013345

Phone: 6184366633

Physician Services Corporation Of Southern Illinois Inc

602 S 42nd St, Mount Vernon, IL 628646264

Physician Services Corporation Of Southern Illinois Inc

811 Fairfax St, Carlyle, IL 622311809

Phone: 6185943025

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Maria Riaz , MD

Internal Medicine

NPI 1245751940

Doctor of Medicine (M.D.)

Dr. Usha Sadanala , MD

Family Medicine

NPI 1326308248

Doctor of Medicine (M.D.)

Karen Hummel , PA-C

Physician Assistant

NPI 1356392245

Physician Assistant (Certified)

Tracie Foster

Nurse Practitioner

NPI 1508258476
Rex Stombaugh , PA

Physician Assistant

NPI 1568406064

Physician Assistant

Ruth Rakey , APN

Nurse Practitioner - Women's Health

NPI 1669425526

Advanced Practice Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2014

Registered at 1441 W BROADWAY, CENTRALIA, IL 628015613 (Tel: 6185329050)

📍
Updated Business Mailing Address February 03, 2014

Registered at 1441 W BROADWAY, CENTRALIA, IL 628015613 (Tel: 6185329050)

👤
Provider Name / Credentials Updated February 03, 2014

Recorded as KENDRA BOWEN, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2014

Physician Assistant (License #085003158 in IL)

🟢
Initial NPI Registration & Enumeration April 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457318438
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2006
Last Update: November 12, 2020
Sole Proprietor: No

Mailing Address

1441 W Broadway

Centralia, IL 628015613

Phone: 6185329050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.