SUZANNE ELAINE BOHNKER (ANP) – Critical Care Medicine Nurse Practitioner, NPI 1063858090

SUZANNE ELAINE BOHNKER (ANP) is a healthcare provider. based in Saint louis, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP. They hold a License No. F306-155-1 (NY). The NPI Number for SUZANNE ELAINE BOHNKER (ANP) is 1063858090

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
SUZANNE ELAINE BOHNKER (ANP)
NPI
1063858090
Phone
(314) 514-6000
Address
999 EXECUTIVE PARKWAY DR
Enumeration Date
16 May 2013
Last Update Date
16 May 2013

Doctor Profile

Medical School Name
CITY UNIVERSITY OF NEW YORK SCHOOL OF MEDICINE
Secondary Phone
3145146000
Graduation Year
2012 (14 years ago)
PAC ID
7517361421
Group Practice PAC ID
8729992060
Professional Enrollment ID
I20210813000878
Address ID
NY100172878NE747XXAVEX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for SUZANNE ELAINE BOHNKER (ANP)

  • 999 EXECUTIVE PARKWAY DR

    SUITE 210

    SAINT LOUIS, MO 631416336

    Phone: (314) 514-6000

    Fax: (866) 497-1239

    Type: Location

  • 747 3RD AVE

    SUITE 28A

    NEW YORK, NY 100172803

    Phone: (314) 514-6000

    Fax: (866) 497-1239

    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: 2021-08-13

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
I20210813000878INurse PractitionerNYTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 63141)

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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: 8729992060View full group profile
NameSpecialtyState
Internal MedicineMO
Nurse PractitionerMO
Nurse PractitionerTX
Pulmonary Disease, Internal MedicineCA
Pulmonary Disease, Critical Care (Intensivists)SC
A N E S T H E S I O L O G YMI
Nurse PractitionerMO
A N E S T H E S I O L O G YCA
Internal MedicineVA
Critical Care (Intensivists), General SurgeryNY

Reviews

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Frequently asked questions

Where can patients find SUZANNE ELAINE BOHNKER (ANP)'s NPI?
You can confirm SUZANNE ELAINE BOHNKER (ANP) with NPI 1063858090; it appears in the national provider directory.
Is SUZANNE ELAINE BOHNKER (ANP) active in the national directory?
SUZANNE ELAINE BOHNKER (ANP)'s public NPI profile is in an active state.
What kind of provider is SUZANNE ELAINE BOHNKER (ANP)?
The page reflects Critical Care Medicine Nurse Practitioner for SUZANNE ELAINE BOHNKER (ANP). Clinical services aligned with this taxonomy classification.
Does SUZANNE ELAINE BOHNKER (ANP) practice in Missouri?
You will see Saint Louis, Missouri on file for SUZANNE ELAINE BOHNKER (ANP) alongside any extra practice locations.
What if Saint Louis, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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