MRS. STACIE L BOHN (FNP-C) – Nurse Practitioner, NPI 1568651024

MRS. STACIE L BOHN (FNP-C) is a healthcare provider. based in Lake isabella, California. specializing in Nurse Practitioner. They hold the professional credentials FNP-C. They hold a License No. AP120816 (TX). The NPI Number for MRS. STACIE L BOHN (FNP-C) is 1568651024

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STACIE L BOHN (FNP-C)
NPI
1568651024
Phone
(760) 379-1791
Address
PO BOX 1628
Enumeration Date
22 October 2007
Last Update Date
8 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2813515409
Graduation Year
2007 (19 years ago)
PAC ID
9032307368
Group Practice PAC ID
0042373375
Professional Enrollment ID
I20120926000309
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:18State licenses:2Digital endpointsOther names

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Provider Addresses for MRS. STACIE L BOHN (FNP-C)

  • PO BOX 1628

    LAKE ISABELLA, CA 932401628

    Phone: (760) 379-1791

    Fax: (760) 379-1793

    Type: Mailing

  • 2316 EAST MEYER BLVD, 1 WEST

    KANSAS CITY, MO 641321136

    Phone: (816) 276-4700

    Type: Mailing

  • School Street, Tomball, Harris County, Texas, 77375, United States

    TOMBALL, TX 773754594

    Phone: (281) 351-5409

    Fax: (281) 351-2803

    Type: Location

  • 15655 Cypress Wood Medical Dr Ste 100

    Houston, TX 770141487

    Phone: (713) 442-1700

    Type: Location

  • 13105 Wortham Center Dr

    Houston, TX 770655611

    Phone: (713) 442-4000

    Type: Location

  • 106 Vision Park Blvd

    Shenandoah, TX 773843000

    Phone: (713) 442-1800

    Type: Location

  • 11511 SHADOW CREEK PKWY

    PEARLAND, TX 775847298

    Phone: (713) 442-0000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $229.

Total Amount is formed as General ($229) + Research ($0) + Ownership ($0) = $229.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: Ethicon US, LLC ($121).

Total Amount

$229

General + Research + Ownership

Payments

8

Total payment records

General Amount

$229

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120926000309INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93240)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042373375View full group profile
NameSpecialtyState
General SurgeryTX
General SurgeryTX

Reviews

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Frequently asked questions

What NPI should I save for MRS. STACIE L BOHN (FNP-C)?
Save NPI 1568651024 if you need a stable reference for MRS. STACIE L BOHN (FNP-C).
Is MRS. STACIE L BOHN (FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MRS. STACIE L BOHN (FNP-C)?
The page reflects Nurse Practitioner for MRS. STACIE L BOHN (FNP-C). Clinical services aligned with this taxonomy classification.
Where does public data place MRS. STACIE L BOHN (FNP-C)?
The snapshot lists Lake Isabella, California for MRS. STACIE L BOHN (FNP-C); download NPPES for the complete set.
Is MRS. STACIE L BOHN (FNP-C) a real provider?
This page reflects official NPPES data for NPI 1568651024. Always confirm identity and privileges with the practice and licensing boards.

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