Kristina Ann Bohm, FNP in Plymouth, MN - Medicare Nurse Practitioner

Kristina Ann Bohm, FNP is a medicare enrolled "Nurse Practitioner" in Plymouth, Minnesota. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Park Nicollet Clinic and her current practice location is 4155 County Road 101 N, Plymouth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-8900.

Kristina Ann Bohm is licensed to practice in Minnesota (license number 2081) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194071449.

Contact Information

	Kristina Ann Bohm, FNP
	4155 County Road 101 N, Plymouth, MN 55446-2307
	(952) 993-8900
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristina Ann Bohm
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	4155 County Road 101 N, Plymouth, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristina Ann Bohm graduated from nursing school in 2020

NPI Data:

NPI Number: 1194071449
Provider Enumeration Date: 07/24/2012
Last Update Date: 08/09/2024

Medicare PECOS Information:

PECOS PAC ID: 2062661036
Enrollment ID: I20121008000172

Medical Identifiers

Medical identifiers for Kristina Ann Bohm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194071449	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R182757-0 (Minnesota)	Secondary
363L00000X	Nurse Practitioner	2081 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Park Nicollet Methodist Hospital	Saint louis park, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1611

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristina Ann Bohm allows following entities to bill medicare on her behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Kristina Ann Bohm is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kristina Ann Bohm, FNP 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Kristina Ann Bohm, FNP 4155 County Road 101 N, Plymouth, MN 55446-2307 Ph: (952) 993-8900

Reviews and Comments

Nurse Practitioner Nurses in Plymouth, MN

Mrs. Ellie Flannery, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5046 Everest Ln N, Plymouth, MN 55446 Phone: 612-669-8725
Khrystyna Antonova, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15552 57th Pl N, Plymouth, MN 55446 Phone: 612-481-1842
Sarah Irene Hare, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4140 County Road 101 N, Plymouth, MN 55446 Phone: 763-478-4612
Natalie Brandsrud, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18205 45th Ave N Ste C, Plymouth, MN 55446 Phone: 763-400-7828
Elizabeth Ann Brennan, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Fernbrook Ln N Ste 120, Plymouth, MN 55447 Phone: 763-559-7050 Fax: 763-559-7060
John M Rozman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446 Phone: 651-968-5201
Erica Barbosa De Souza, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 Magnolia Ln N, Plymouth, MN 55441 Phone: 763-744-7256

Kristina Ann Bohm, FNP - Medicare Nurse Practitioner in Plymouth, MN