JENNIFER N BOHANON – Emergency Medicine Physician, NPI 1316954597

JENNIFER N BOHANON is a healthcare provider. based in Lynchburg, Virginia. specializing in PHYSICIAN ASSISTANT. They hold a License No. 0110001842 (VA). The NPI Number for JENNIFER N BOHANON is 1316954597

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER N BOHANON
NPI
1316954597
Phone
(434) 200-5252
Address
2410 Atherholt Rd
Enumeration Date
1 August 2006
Last Update Date
11 December 2023

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
3072595073
Professional Enrollment ID
I20040603000646
Address ID
VA234528524VI2901XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

Provider Addresses for JENNIFER N BOHANON

  • 2410 Atherholt Rd

    Lynchburg, VA 245012148

    Phone: (434) 200-5252

    Fax: (434) 200-2851

    Type: Location

  • South Boston Post Office, 601, North Main Street, South Boston, Halifax County, Virginia, 24592, United States

    SOUTH BOSTON, VA 245921115

    Phone: (434) 517-3515

    Fax: (434) 572-4549

    Type: Mailing

  • 2232, Wilborn Avenue, South Boston, Halifax County, Virginia, 24592, United States

    SUITE A

    SOUTH BOSTON, VA 245921662

    Phone: (434) 572-8977

    Fax: (434) 572-2510

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $339.

Total Amount is formed as General ($339) + Research ($0) + Ownership ($0) = $339.

Last reported payment date: 2024-01-25 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($101).

Total Amount

$339

General + Research + Ownership

Payments

19

Total payment records

General Amount

$339

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-25

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: 2004-06-03

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
I20040603000646IPhysician AssistantVATBD

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 24501)

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Reviews

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Frequently asked questions

Can I verify JENNIFER N BOHANON with an NPI only?
You can start verification with NPI 1316954597 for JENNIFER N BOHANON, then check state licensing separately.
Is JENNIFER N BOHANON listed as active for patients and plans?
The listing shows JENNIFER N BOHANON as active in the NPI system.
What taxonomy line describes JENNIFER N BOHANON?
For research purposes, treat JENNIFER N BOHANON as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does JENNIFER N BOHANON serve?
JENNIFER N BOHANON's listing highlights Lynchburg, Virginia; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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