Ann E Mcdowell , APRN
Nurse Practitioner • Columbia, MO
910 N College Ave Ste 4
Columbia, MO 652014797
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 1, 2006; this date does not establish years in practice.
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Published CMS data list 1,934 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99309 — Subsequent nursing facility care with moderate level of medical decision making, per day: 1,112 service units.
- 99308 — Subsequent nursing facility care with straightforward level of medical decision making, per day: 537 service units.
- 99310 — Subsequent nursing facility care with high level of medical decision making, per day: 168 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 6 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 398 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Furosemide — 46 prescription fills, including refills.
- Warfarin Sodium — 30 prescription fills, including refills.
- Atorvastatin Calcium — 28 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 20 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Columbia, MO (2024, 32 clinicians with data). Median for this group: 1,000. Middle half: 511 to 1,842.
More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Missouri (2024, 860 clinicians with data). Median for this group: 231. Middle half: 88 to 493.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 2,044 in 2020 to 1,934 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
910 N College Ave Ste 4
Columbia, MO 652014797
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
309 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $154,786 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $120,830 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
407 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$20,073 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2024
All general payments: $60.43 across 4 records.
By nature of payment
- Food and Beverage: $60.43 across 4 records.
Reporting-company totals
- Novo Nordisk Inc: $60.43 across 4 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Ann Mcdowell has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Ann Mcdowell as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Columbia and Missouri
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Columbia, MO (2024, 32 clinicians with data). Median for this group: 1,000. Middle half: 511 to 1,842.
More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Missouri (2024, 860 clinicians with data). Median for this group: 231. Middle half: 88 to 493.
Medicare-allowed amount
A higher Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Columbia, MO (2024, 32 clinicians with data). Median for this group: $67,374. Middle half: $38,945 to $131,856.
A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Missouri (2024, 860 clinicians with data). Median for this group: $17,615. Middle half: $6,020 to $35,542.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Nurse Practitioner in Columbia, MO (2024, 32 clinicians with data). Median for this group: $50,225. Middle half: $28,590 to $97,141.
A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Missouri (2024, 860 clinicians with data). Median for this group: $12,817. Middle half: $4,412 to $26,824.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Nurse Practitioner in Columbia, MO (2024, 35 clinicians with data). Median for this group: 237. Middle half: 115 to 1,726.
Close to the middle for clinicians listed under Nurse Practitioner in Missouri (2024, 924 clinicians with data). Median for this group: 303. Middle half: 86 to 1,191.
Part D drug cost
Close to the middle for clinicians listed under Nurse Practitioner in Columbia, MO (2024, 35 clinicians with data). Median for this group: $20,073. Middle half: $1,555 to $134,519.
Close to the middle for clinicians listed under Nurse Practitioner in Missouri (2024, 924 clinicians with data). Median for this group: $13,920. Middle half: $1,057 to $134,310.
68 active clinicians are listed under Nurse Practitioner with a practice address in Columbia, MO (1,721 in Missouri).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Columbia
1.5% of these 68 clinicians have the CMS telehealth indicator.
45.6% of these 68 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services varied from year to year: 2,044 in 2020 and 1,934 in 2024.
- 2020: 2,044
- 2021: 3,182
- 2022: 3,123
- 2023: 2,278
- 2024: 1,934
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Medicare-allowed amount
Medicare-allowed amount increased 20% from $129,279 in 2020 to $154,786 in 2024.
- 2020: $129,279
- 2021: $186,799
- 2022: $180,028
- 2023: $164,623
- 2024: $154,786
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Paid by Medicare
Paid by Medicare increased 18% from $102,810 in 2020 to $120,830 in 2024.
- 2020: $102,810
- 2021: $146,280
- 2022: $139,213
- 2023: $129,479
- 2024: $120,830
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 637% from 54 in 2020 to 398 in 2024.
- 2020: 54
- 2021: 34
- 2022: 114
- 2023: 344
- 2024: 398
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30-day fills
30-day fills increased 468% from 72 in 2020 to 407 in 2024.
- 2020: 72
- 2021: 34
- 2022: 114
- 2023: 348
- 2024: 407
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Part D drug cost
Part D drug cost increased 1332% from $1,402 in 2020 to $20,073 in 2024.
- 2020: $1,402
- 2021: $988
- 2022: $1,292
- 2023: $20,833
- 2024: $20,073
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2024 only.
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $60.43.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Wegovy | General | $16.58 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Rybelsus | General | $16.23 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Wegovy | General | $14.23 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $13.39 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2020–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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1,112 | 260 | $204.88 | $84.59 |
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99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
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537 | 150 | $134.00 | $58.13 |
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99310
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
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168 | 142 | $275.00 | $120.82 |
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99315
Nursing facility discharge day management, 30 minutes or less
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60 | 60 | $93.03 | $64.09 |
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99316
Nursing facility discharge management, more than 30 minutes
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45 | 44 | $150.00 | $103.33 |
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99497
Advance care planning, first 30 minutes
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12 | 11 | $98.00 | $59.45 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Furosemide | Furosemide | 46 | 1,063 | $147.17 | 29 |
| Warfarin Sodium | Warfarin Sodium | 30 | 837 | $151.38 | — |
| Atorvastatin Calcium | Atorvastatin Calcium | 28 | 800 | $174.53 | 18 |
| Losartan Potassium | Losartan Potassium | 27 | 779 | $160.66 | 18 |
| Pantoprazole Sodium | Pantoprazole Sodium | 26 | 647 | $248.71 | 19 |
| Farxiga | Dapagliflozin Propanediol | 24 | 465 | $9,010.86 | — |
| Gabapentin | Gabapentin | 23 | 579 | $286.95 | 12 |
| Spironolactone | Spironolactone | 20 | 627 | $89.06 | 19 |
| Potassium Chloride | Potassium Chloride | 19 | 493 | $185.22 | 16 |
| Metoprolol Succinate | Metoprolol Succinate | 18 | 498 | $137.12 | 11 |
| Metoprolol Tartrate | Metoprolol Tartrate | 15 | 454 | $43.29 | 14 |
| Eliquis | Apixaban | 15 | 470 | $8,723.90 | 15 |
| Amlodipine Besylate | Amlodipine Besylate | 14 | 383 | $50.07 | 14 |
| Carvedilol | Carvedilol | 14 | 363 | $38.14 | 12 |
| Clopidogrel | Clopidogrel Bisulfate | 14 | 395 | $74.79 | — |
| Levothyroxine Sodium | Levothyroxine Sodium | 14 | 351 | $113.87 | 11 |
| Lisinopril | Lisinopril | 13 | 286 | $70.20 | — |
| Metformin Hcl | Metformin Hcl | 13 | 399 | $30.66 | — |
| Quetiapine Fumarate | Quetiapine Fumarate | 13 | 379 | $94.88 | 12 |
| Celecoxib | Celecoxib | 12 | 357 | $241.34 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-08-06NUCC Taxonomy Code: 363L00000X
(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.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20040226000960
MO
0446146260
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Master of Science in Nursing, Advanced Practice Registered Nurse, Nurse Practitioner (Certified)
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
APRNFNPBC
Nurse Practitioner - Family
Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 910 N COLLEGE AVE STE 4, COLUMBIA, MO 652014797 (Tel: 6366421215)
Registered at 910 N COLLEGE AVE STE 4, COLUMBIA, MO 652014797 (Tel: 6366421215)
NPI status registered as active in NPPES database
Registered at 17601 B HWY, BOONVILLE, MO 652332839 (Tel: 6608822121)
Registered at 17651 B HWY, BOONVILLE, MO 652332839 (Tel: 6608827461)
Recorded as ANN MCDOWELL, APRN
Nurse Practitioner (license number reported to NPPES: MO RN096035)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Columbia
- Ashlee Sutherland, AGPCNP-BC
- Kathi Lutz, RN, FNP
- Mary Creger, CNS
- Stephnie Stonecipher, AGPNP
- Dr. Pamela Smith, PhD, FNP, RN
- Terri Stone, NP
Mailing Address
910 N College Ave Ste 4
Columbia, MO 652014797
Phone: 6366421215