Bowsers Garden LLC
NPI 1205476868ActiveOrganization· Nurse Practitioner, Adult Health· Phoenix, AZ
Nurse Practitioner, Adult Health in Phoenix, Arizona, registered in NPPES in January 2020. The authorized official on file is Luanne Takacs Kelly, DNP, ANP-BC, MBA, Ceo, Dnp. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205476868 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2020 |
| Last updated in NPPES | Sep 22, 2025 |
| Certified by provider | Sep 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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