Dustin Michael Cowan, FNP-C
Nurse Practitioner, Family in Bristol, PA. Individual provider (NPI-1).
NPI number1073300901
StatusActive
Last updated in NPPESApr 24, 2025
Details
- NPI
- 1073300901
- Entity type
- Individual (NPI-1)
- Name
- Dustin Michael Cowan
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 23, 2025
- Certification date
- Apr 24, 2025
- Last updated
- Apr 24, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | SP030242 | PA | Yes |
Practice location
200 Rittenhouse Cir Bldg 4Bristol, PA 19007-1619
Phone 859-321-3173
Mailing address
200 Rittenhouse Cir Ste 4Bristol, PA 19007-1619
Phone 859-321-3173
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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