SUSAN N BOHNSTEDT (P.A.) – Physician Assistant, NPI 1720192073

SUSAN N BOHNSTEDT (P.A.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 1525 (OK). The NPI Number for SUSAN N BOHNSTEDT (P.A.) is 1720192073

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN N BOHNSTEDT (P.A.)
NPI
1720192073
Phone
(918) 756-4333
Address
MCN PRIMARY CLINICS
Enumeration Date
17 August 2006
Last Update Date
28 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
6406850452
Group Practice PAC ID
7012914898
Professional Enrollment ID
I20060905000302
Address ID
OK731021049OK608XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for SUSAN N BOHNSTEDT (P.A.)

  • MCN PRIMARY CLINICS

    DEPT # 1467

    TULSA, OK 741820001

    Phone: (918) 756-4333

    Fax: (918) 756-3993

    Type: Mailing

  • 13401 N WESTERN AVE

    OKLAHOMA CITY, OK 731141408

    Phone: (405) 252-3450

    Fax: (405) 252-3499

    Type: Location

  • Muscogee (Creek) Nation Community Hospital, 309, North 14th Street, Okemah, Okfuskee County, Oklahoma, 74859, United States

    OKEMAH, OK 748592028

    Phone: (918) 623-1424

    Fax: (918) 623-2809

    Type: Location

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: 2022-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20060905000302IPhysician AssistantOKTBD
I20220426002209IPhysician AssistantTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes12373$0
99214Established patient office or other outpatient visit, 30-39 minutes7944$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2828$0
View full utilization report →

Insurance plans in this area (ZIP 74182)

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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: 7012914898View full group profile
NameSpecialtyState
Nurse PractitionerOK
Internal Medicine, Pediatric MedicineOK
U R O L O G YOK
Clinical Social WorkerOK
Physician AssistantOK
Family PracticeOK
Physician AssistantOK
Orthopedic SurgeryOK
Family PracticeOK
Family PracticeOK

Reviews

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Frequently asked questions

Can I use this page to confirm SUSAN N BOHNSTEDT (P.A.)'s NPI?
Yes. SUSAN N BOHNSTEDT (P.A.) is listed with NPI 1720192073 in the public NPI dataset.
Is SUSAN N BOHNSTEDT (P.A.) listed as active for patients and plans?
The listing shows SUSAN N BOHNSTEDT (P.A.) as active in the NPI system.
What healthcare role does SUSAN N BOHNSTEDT (P.A.) hold?
Scheduling teams often label SUSAN N BOHNSTEDT (P.A.) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for SUSAN N BOHNSTEDT (P.A.)?
SUSAN N BOHNSTEDT (P.A.)'s geographic hint is Tulsa, Oklahoma in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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