MILISSA C. PHILLIPS-BOHLENDER (NP) – Family Nurse Practitioner, NPI 1164474045

MILISSA C. PHILLIPS-BOHLENDER (NP) is a healthcare provider. based in Fort wayne, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 71001697A (IN). The NPI Number for MILISSA C. PHILLIPS-BOHLENDER (NP) is 1164474045

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MILISSA C. PHILLIPS-BOHLENDER (NP)
NPI
1164474045
Phone
(260) 479-3514
Address
6920 POINTE INVERNESS WAY STE 200
Enumeration Date
17 May 2006
Last Update Date
29 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2604321568
Graduation Year
2001 (25 years ago)
PAC ID
3476513508
Group Practice PAC ID
0143295410
Professional Enrollment ID
I20041013001010
Address ID
IN468044140FO7988XBLVD401

Contacts

Secure Messaging
milissa.phillips-bohlender@lutheranhealthnetwork.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

8,191 NURSE PRACTITIONER in IN

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Provider Addresses for MILISSA C. PHILLIPS-BOHLENDER (NP)

  • Pointe Inverness Way, Covington Dells, Fort Wayne, Allen County, Indiana, 46804, United States

    FORT WAYNE, IN 468047934

    Phone: (260) 479-3514

    Fax: (260) 479-3520

    Type: Mailing

  • 306, West Jefferson Boulevard, Fort Wayne, Allen County, Indiana, 46802, United States

    FORT WAYNE, IN 468044128

    Phone: (260) 458-3610

    Fax: (260) 458-3611

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Amgen Inc. ($39).

Total Amount

$90

General + Research + Ownership

Payments

5

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

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: 2004-10-13

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
I20041013001010INurse PractitionerINTBD

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
49083Drainage of fluid from abdominal cavity using imaging guidance8738$0
32555Aspiration of fluid from chest cavity using imaging guidance5950$0
77012Review by radiologist of ct guidance for needle placement3029$0
View full utilization report →

Insurance plans in this area (ZIP 46804)

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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: 0143295410View full group profile
NameSpecialtyState
Diagnostic RadiologyIN
Diagnostic RadiologyIN
Nurse PractitionerIN
Diagnostic RadiologyIN
Diagnostic RadiologyIN
Diagnostic RadiologyIN
Diagnostic RadiologyIN
Diagnostic RadiologyIN
Diagnostic RadiologyWA
Diagnostic RadiologyIN

Reviews

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Frequently asked questions

What is the standard ID for MILISSA C. PHILLIPS-BOHLENDER (NP) in the U.S.?
In the U.S., MILISSA C. PHILLIPS-BOHLENDER (NP) is identified by NPI 1164474045.
Is MILISSA C. PHILLIPS-BOHLENDER (NP)'s NPI status active today?
Active status means MILISSA C. PHILLIPS-BOHLENDER (NP)'s NPI record is not deactivated in the public file.
How should patients interpret MILISSA C. PHILLIPS-BOHLENDER (NP)'s specialty?
The extract shows Family Nurse Practitioner for MILISSA C. PHILLIPS-BOHLENDER (NP). Clinical services aligned with this taxonomy classification.
Which community is linked to MILISSA C. PHILLIPS-BOHLENDER (NP)?
MILISSA C. PHILLIPS-BOHLENDER (NP) shows a connection to Fort Wayne, Indiana in registry-derived data.
Why is information missing for MILISSA C. PHILLIPS-BOHLENDER (NP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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