Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740155183 Individual Practitioner Female Practitioner

Kisha L Bowen

Nurse Practitioner • Maywood, IL

Professional Overview & Biography Verified Profile Summary

Kisha Bowen is a registered healthcare professional specializing in Nurse Practitioner in Maywood, IL. Practice services are available at 1234 S 13TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1234 S 13th Ave

Maywood, IL 601531830

Telephone 7086702835

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Maywood, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.8 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
39 Specialists

Practicing in Maywood, IL (4929 Statewide)

Telehealth Adoption Rate
12.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-07
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209.032790

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 07, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 07, 2025

Registered at 1234 S 13TH AVE, MAYWOOD, IL 601531830 (Tel: 7086702835)

📍
Updated Business Mailing Address October 07, 2025

Registered at 1234 S 13TH AVE, MAYWOOD, IL 601531830 (Tel: 7086702835)

👤
Provider Name / Credentials Updated October 07, 2025

Recorded as KISHA BOWEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2025

Nurse Practitioner (License #209.032790 in IL)

🟢
Initial NPI Registration & Enumeration October 07, 2025

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: 1740155183
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2025
Last Update: October 07, 2025
Sole Proprietor: Yes

Mailing Address

1234 S 13th Ave

Maywood, IL 601531830

Phone: 7086702835

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.