Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimaka Bowens

Individual provider Nurse Practitioner · NPI 1689067324

Kimaka Bowens is a Nurse Practitioner in Virginia Beach, Virginia. Qualified in 2014, 12 years ago. Practices with Pai Participant 1 LLC, a 168-clinician group and accepts Medicare assignment. Licensed in Mississippi and Virginia.

Years since qualifying
12
Licensed in
MS, VA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

5516 Virginia Beach Blvd
Virginia Beach, VA 23462-5629
Phone: (757) 473-3969
Fax: (757) 506-0157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024185850 (VA)
Family Health Clinical Nurse Specialist Taxonomy 364SF0001X · Licence R872000 (MS)

Record details

NPI number1689067324
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 5, 2015
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023
Mailing address5516 Virginia Beach Blvd, Virginia Beach, VA 23462-5629

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Pai Participant 1 Llc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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