JESSICA FAYE BOHANNON (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1780491001
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for JESSICA FAYE BOHANNON (PMHNP-BC)
3012 Ridge Rd Ste 100
Rockwall, TX 750321918
Phone: (972) 246-8999
Fax: (903) 418-3785
Type: Location
2200 Traders Rd Ste 501
Greenville, TX 754028314
Phone: (903) 231-3151
Fax: (903) 418-3785
Type: Location
4161 COUNTY ROAD 2727
CADDO MILLS, TX 751355624
Phone: (903) 461-4100
Type: Mailing
2710 SUNSET STRIP STE D
GREENVILLE, TX 754023849
Phone: (903) 321-3151
Fax: (903) 418-3485
Type: Location
301 Division St
Greenville, TX 754014101
Phone: (903) 453-3385
Type: Location
301 DIVISION ST
GREENVILLE, TX 754014101
Phone: (903) 453-3385
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: 2025-04-25
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 |
|---|---|---|---|---|
| I20250425001556 | I | Nurse Practitioner | TX | 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 75032)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| P S Y C H I A T R Y | TX |
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