MS. JILL BOHN (APNP, FNP-BC, IBCLC) – Family Nurse Practitioner, NPI 1043600745

MS. JILL BOHN (APNP, FNP-BC, IBCLC) is a healthcare provider. based in Arkdale, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials APNP, FNP-BC, IBCLC. They hold a License No. 6136-33 (WI). The NPI Number for MS. JILL BOHN (APNP, FNP-BC, IBCLC) is 1043600745

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MS. JILL BOHN (APNP, FNP-BC, IBCLC)
NPI
1043600745
Phone
(715) 540-0183
Address
1732 W 19TH AVE
Enumeration Date
2 February 2015
Last Update Date
28 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9204949444
Graduation Year
2014 (12 years ago)
PAC ID
1254658032
Group Practice PAC ID
0749458735
Professional Enrollment ID
I20150317000745
Address ID
WI544014283WA327XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

6,035 NURSE PRACTITIONER in WI

Provider Addresses for MS. JILL BOHN (APNP, FNP-BC, IBCLC)

  • 1732 W 19TH AVE

    ARKDALE, WI 546139502

    Phone: (715) 540-0183

    Fax: (715) 842-9890

    Type: Mailing

  • 327 N 17TH AVE STE 7

    WAUSAU, WI 544014283

    Phone: (715) 842-7707

    Fax: (715) 842-9890

    Type: Location

  • 541 4TH ST S

    WISCONSIN RAPIDS, WI 544944306

    Phone: (715) 424-8600

    Type: Mailing

  • 419 N OAK ST

    ADAMS, WI 539109401

    Phone: (608) 339-5250

    Fax: (608) 339-5252

    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: 2015-03-17

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
I20150317000745INurse PractitionerWITBD

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 54613)

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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: 0749458735View full group profile
NameSpecialtyState
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. JILL BOHN (APNP, FNP-BC, IBCLC)?
MS. JILL BOHN (APNP, FNP-BC, IBCLC) — NPI 1043600745 — is the standard way to identify this listing.
Does the file indicate MS. JILL BOHN (APNP, FNP-BC, IBCLC) is practicing under active NPI?
Directory data currently reports MS. JILL BOHN (APNP, FNP-BC, IBCLC) as active.
What is MS. JILL BOHN (APNP, FNP-BC, IBCLC)'s primary classification?
Family Nurse Practitioner is the headline specialty for MS. JILL BOHN (APNP, FNP-BC, IBCLC) here. Clinical services aligned with this taxonomy classification.
Where is MS. JILL BOHN (APNP, FNP-BC, IBCLC) based?
MS. JILL BOHN (APNP, FNP-BC, IBCLC) is tied to Arkdale, Wisconsin in the data we show; additional addresses may exist on the full record.
Is the information about MS. JILL BOHN (APNP, FNP-BC, IBCLC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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