Keith Allen Bohannon, APRN - Clinical Nurse Specialist in Bentonville, AR

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Keith Allen Bohannon, APRN is a Clinical Nurse Specialist - Psychiatric/mental Health, Adult based in Bentonville, Arkansas. Keith Allen Bohannon is licensed to practice in Arkansas (license number 232468) and his current practice location is 2707 Se G St, Bentonville, Arkansas. He can be reached at his office (for appointments etc.) via phone at (479) 367-2552.

NPI number for Keith Allen Bohannon is 1295527596 and his current mailing address is 2707 Se G St, Bentonville, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295527596.

Contact Information

Keith Allen Bohannon, APRN
2707 Se G St,
Bentonville, AR 72712-3740
(479) 367-2552
(479) 367-2584

Map and Direction




Provider's Profile

Full NameKeith Allen Bohannon
GenderMale
SpecialityClinical Nurse Specialist - Psychiatric/mental Health, Adult
Location2707 Se G St, Bentonville, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1295527596
  • Provider Enumeration Date: 05/21/2025
  • Last Update Date: 05/21/2025

Medical Identifiers

Medical identifiers for Keith Allen Bohannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295527596NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0809XClinical Nurse Specialist - Psychiatric/mental Health, Adult 232468 (Arkansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith Allen Bohannon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Keith Allen Bohannon, APRN
2707 Se G St,
Bentonville, AR 72712-3740

Ph: (479) 367-2552		Keith Allen Bohannon, APRN
2707 Se G St,
Bentonville, AR 72712-3740

Ph: (479) 367-2552

Reviews and Comments


Clinical Nurse Specialist Nurses in Bentonville, AR

Andrea King,
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 2719 Se I St, Bentonville, AR 72712
Phone: 543-747-9273    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.