DR. ANGELA BOHNEN (MD) – Neurological Surgery Physician, NPI 1811289523

DR. ANGELA BOHNEN (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. ME137062 (FL). The NPI Number for DR. ANGELA BOHNEN (MD) is 1811289523

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANGELA BOHNEN (MD)
NPI
1811289523
Phone
(904) 953-2000
Address
4500 San Pablo Rd S
Enumeration Date
12 May 2011
Last Update Date
6 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
3037304400
Graduation Year
2011 (15 years ago)
PAC ID
2769788660
Group Practice PAC ID
0941110886
Professional Enrollment ID
I20191007002882
Address ID
CO801222641LI7780XBROA306
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

567 NEUROSURGERY in FL

Provider Addresses for DR. ANGELA BOHNEN (MD)

  • 4500 San Pablo Rd S

    Jacksonville, FL 32224

    Phone: (904) 953-2000

    Type: Location

  • 4500 SAN PABLO RD S

    JACKSONVILLE, FL 322241865

    Phone: (904) 953-2000

    Type: Mailing

  • 7780 S BROADWAY STE 350

    LITTLETON, CO 801222641

    Phone: (720) 638-7500

    Type: Location

  • 676 N Saint Clair St

    Suite number 2210 Northwestern Dept. of Neurosurgery

    Chicago, IL 606112927

    Phone: (312) 695-6200

    Fax: (312) 695-0225

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $45,536.

Total Amount is formed as General ($45,536) + Research ($0) + Ownership ($0) = $45,536.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Innovasis Inc ($31,198).

Total Amount

$45,536

General + Research + Ownership

Payments

51

Total payment records

General Amount

$45,536

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2019-10-07

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
I20191007002882INeurosurgeryCOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
22614Fusion of additional segment of spine10020$0
99214Established patient office or other outpatient visit, 30-39 minutes4034$0
63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment3415$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion2717$0
99205New patient office or other outpatient visit, 60-74 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

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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: 0941110886View full group profile
NameSpecialtyState
-CO
O B S T E T R I C S/ G Y N E C O L O G YCO
Nurse PractitionerCO
Internal MedicineCO
Physician AssistantCO
Family PracticeCO
Physician AssistantCO
-CO
Internal MedicineCO
N E U R O L O G YCO

Reviews

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Frequently asked questions

Can I verify DR. ANGELA BOHNEN (MD) with an NPI only?
You can start verification with NPI 1811289523 for DR. ANGELA BOHNEN (MD), then check state licensing separately.
Does CMS list DR. ANGELA BOHNEN (MD) as active?
Yes — DR. ANGELA BOHNEN (MD) is active in the NPI listing used on this page.
What is DR. ANGELA BOHNEN (MD)'s specialty?
The listing groups DR. ANGELA BOHNEN (MD) with Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ANGELA BOHNEN (MD)?
DR. ANGELA BOHNEN (MD)'s geographic hint is Jacksonville, Florida in our summary view.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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