Individual provider Active NPI

Suzanne Elaine Bohnker, ANP

  • Critical Care Medicine Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1063858090
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
F306-155-1 Issued in NY
Practice address
999 Executive Parkway Dr
Suite 210
Saint Louis, MO 63141-6336
Phone
(314) 514-6000
Fax
(866) 497-1239
NPI assigned
May 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X F306-155-1 NY Primary

Addresses

Primary practice location

999 Executive Parkway Dr
Suite 210
Saint Louis, MO 63141-6336

Mailing address

747 3Rd Ave
Suite 28a
New York, NY 10017-2803
Phone (314) 514-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813000878 NY Practitioner - Nurse Practitioner 7517361421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
City University of New York School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Critical Care Services PCGroup PAC ID 8729992060, 32 clinicians

Practice addresses (Care Compare)

747 3Rd Ave
RM 288
New York, NY 10017-2878
Phone (314) 514-6000

Hospital & facility affiliations

  • Greeneville Community Hospital Hospital, Greeneville, TN, CCN 440050
  • Summit Healthcare Regional Medical Center Hospital, Show Low, AZ, CCN 030062
  • Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F306-155-1NYMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care Services, P.C. CurrentSince Jul 1, 2021 Accepting new patients

Locations

999 Executive Parkway Dr
Ste 210
Saint Louis, MO 63141
Phone (314) 514-6005

1 Cityplace Dr
Ste 570
Saint Louis, MO 63141
Phone (314) 514-6060

747 3rd Ave
Rm 288
New York, NY 10017

Interoperability endpoints

  • Direct secure messaging: sbohnker54432@direct.ahsys.org
  • Direct secure messaging: sbohnker305122@reidhealth.direct-ci.com
  • Direct secure messaging: suzanne.bohnker@direct.einstein.edu
  • Direct secure messaging: sbohnker305122@ecommunitydirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1063858090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 3RD AVE",
            "address_2": "SUITE 28A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172803",
            "telephone_number": "314-514-6000",
            "fax_number": "866-497-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 EXECUTIVE PARKWAY DR",
            "address_2": "SUITE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416336",
            "telephone_number": "314-514-6000",
            "fax_number": "866-497-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHNKER",
        "first_name": "SUZANNE",
        "middle_name": "ELAINE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NY",
            "license": "F306-155-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.