KERILYN KRAKE BOHN (PA-C) – Physician Assistant, NPI 1720190127

KERILYN KRAKE BOHN (PA-C) is a healthcare provider. based in Waverly, Iowa. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9101709 (FL). The NPI Number for KERILYN KRAKE BOHN (PA-C) is 1720190127

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
KERILYN KRAKE BOHN (PA-C)
NPI
1720190127
Phone
(319) 230-8375
Address
1607 RUBBLE RD
Enumeration Date
31 August 2006
Last Update Date
25 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7372266700
Graduation Year
2001 (25 years ago)
PAC ID
9537201793
Group Practice PAC ID
9133536113
Professional Enrollment ID
I20250424000486
Address ID
IA525312718AL200XXEXXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Digital endpointsOther names

1,648 PHYSICIAN ASSISTANT in IA

Provider Addresses for KERILYN KRAKE BOHN (PA-C)

  • 1607 RUBBLE RD

    WAVERLY, IA 506774383

    Phone: (319) 230-8375

    Type: Location

  • Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil

    ORLANDO, FL 328918025

    Phone: (352) 265-0725

    Type: Mailing

  • UF Health Shands Hospital, 1600, Archer Road, Gainesville, Alachua County, Florida, 32608, United States

    GAINESVILLE, FL 326103003

    Phone: (352) 265-0725

    Type: Location

  • 2502 INKPADUTA AVE

    WEBSTER CITY, IA 505957312

    Phone: (319) 230-8375

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-04-24

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
I20250424000486IPhysician AssistantIATBD

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 50677)

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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: 9133536113View full group profile
NameSpecialtyState
Family PracticeLA
Hospitalist, Internal MedicineIA
Nurse PractitionerLA
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIL
Physician AssistantIA
Family PracticeMN
Nurse PractitionerIA

Reviews

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Frequently asked questions

What number should I use to identify KERILYN KRAKE BOHN (PA-C) for billing?
Administrative and clinical systems typically use NPI 1720190127 for KERILYN KRAKE BOHN (PA-C).
Is KERILYN KRAKE BOHN (PA-C)'s NPI status active today?
Active status means KERILYN KRAKE BOHN (PA-C)'s NPI record is not deactivated in the public file.
What does the directory say KERILYN KRAKE BOHN (PA-C) does?
Insurance directories may phrase it differently, but here KERILYN KRAKE BOHN (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KERILYN KRAKE BOHN (PA-C)?
KERILYN KRAKE BOHN (PA-C) is associated with Waverly, Iowa in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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