KERILYN KRAKE BOHN (PA-C) – Physician Assistant, NPI 1720190127
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250424000486 | I | Physician Assistant | IA | TBD |
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.
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
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Family Practice | LA | |
| Hospitalist, Internal Medicine | IA | |
| Nurse Practitioner | LA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IL | |
| Physician Assistant | IA | |
| Family Practice | MN | |
| Nurse Practitioner | IA |
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