DENIELLE BOHLAND (NP) – Family Nurse Practitioner, NPI 1306507363

DENIELLE BOHLAND (NP) is a healthcare provider. based in Traverse city, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704277942 (MI). The NPI Number for DENIELLE BOHLAND (NP) is 1306507363

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DENIELLE BOHLAND (NP)
NPI
1306507363
Phone
(231) 421-6921
Address
815 BUSINESS PARK DR
Enumeration Date
3 January 2022
Last Update Date
3 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2318244100
Graduation Year
2021 (5 years ago)
PAC ID
8921492372
Group Practice PAC ID
0648259010
Professional Enrollment ID
I20220228002632
Address ID
MI496639429MA115XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for DENIELLE BOHLAND (NP)

  • 815 BUSINESS PARK DR

    TRAVERSE CITY, MI 496868683

    Phone: (231) 421-6921

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 89 Open Payments records for all available years, with a total value of $1,810.

Total Amount is formed as General ($1,810) + Research ($0) + Ownership ($0) = $1,810.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($684).

Total Amount

$1,810

General + Research + Ownership

Payments

89

Total payment records

General Amount

$1,810

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2022-02-28

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
I20220228002632INurse PractitionerMITBD

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 49686)

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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: 0648259010View full group profile

Reviews

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Frequently asked questions

Is DENIELLE BOHLAND (NP) listed with a National Provider Identifier?
Yes — DENIELLE BOHLAND (NP) has NPI 1306507363 on file in the registry.
Is DENIELLE BOHLAND (NP) still an active registrant?
DENIELLE BOHLAND (NP) carries an active NPI according to the public dataset.
What expertise is attributed to DENIELLE BOHLAND (NP)?
DENIELLE BOHLAND (NP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is DENIELLE BOHLAND (NP) associated with Traverse City?
Public fields place DENIELLE BOHLAND (NP) around Traverse City, Michigan. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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