DESTEMONA BOZHANI – Nurse Practitioner, NPI 1801493275

DESTEMONA BOZHANI is a healthcare provider. based in Clarksdale, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 140231 (KS). The NPI Number for DESTEMONA BOZHANI is 1801493275

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DESTEMONA BOZHANI
NPI
1801493275
Phone
(816) 262-2889
Address
5804 SW BRAY RD
Enumeration Date
7 October 2020
Last Update Date
30 August 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
8163969500
Graduation Year
2020 (6 years ago)
PAC ID
4284041302
Group Practice PAC ID
5294829248
Professional Enrollment ID
I20210407001300
Address ID
MO645065030SA4776XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:5State licenses:2Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for DESTEMONA BOZHANI

  • 5804 SW BRAY RD

    CLARKSDALE, MO 644309176

    Phone: (816) 262-2889

    Type: Location

  • 5804 SW Bray Rd

    Clarksdale, MO 644309176

    Phone: (816) 262-2889

    Type: Location

  • 105 FAR WEST DR STE 201

    SAINT JOSEPH, MO 645063514

    Phone: (816) 271-8182

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 88 Open Payments records for all available years, with a total value of $1,401.

Total Amount is formed as General ($1,401) + Research ($0) + Ownership ($0) = $1,401.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: ABBVIE INC. ($382).

Total Amount

$1,401

General + Research + Ownership

Payments

88

Total payment records

General Amount

$1,401

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

Latest reported date

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: 2021-04-07

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
I20210407001300INurse PractitionerMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes10487$0
99213Established patient office or other outpatient visit, 20-29 minutes5146$0
View full utilization report →

Insurance plans in this area (ZIP 64430)

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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: 5294829248View full group profile
NameSpecialtyState
Family PracticeMO
-MO
Nurse PractitionerKS
Emergency MedicineMO
Family Practice, Emergency MedicineMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerKS

Reviews

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Frequently asked questions

What unique ID ties claims to DESTEMONA BOZHANI?
NPI 1801493275 is assigned to DESTEMONA BOZHANI under the national enumeration system.
Is DESTEMONA BOZHANI currently active in the NPI registry?
CMS-published data lists DESTEMONA BOZHANI as an active registrant.
What does DESTEMONA BOZHANI treat or focus on?
Patients typically see DESTEMONA BOZHANI under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for DESTEMONA BOZHANI?
We surface Clarksdale, Missouri for DESTEMONA BOZHANI based on available NPPES addresses.
What if Clarksdale, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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