Active NPI
Casey Ann Bohnert
- Nurse Practitioner
- Cape Girardeau, MO
National Provider Identifier
1104731439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2026047866
- Practice address
- 371 S Broadview St
Cape Girardeau, MO 63703-5761 - Phone
- (573) 331-6710
- Fax
- (573) 986-5999
- NPI assigned
- Aug 19, 2026
- Last updated
- Oct 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2026047866 | MO | Primary |
Addresses
Primary practice location
371 S Broadview St
Cape Girardeau, MO 63703-5761
Mailing address
371 S Broadview St
Cape Girardeau, MO 63703-5761
Other practice location 1
1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 334-4822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2026047866 | MO | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1104731439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "371 S BROADVIEW ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "371 S BROADVIEW ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035761",
"telephone_number": "573-331-6710",
"fax_number": "573-986-5999"
}
],
"practiceLocations": [
{
"address_1": "1701 Lacey St",
"address_purpose": "LOCATION",
"city": "Cape Girardeau",
"state": "MO",
"postal_code": "637015230",
"country_code": "US",
"telephone_number": "573-334-4822",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOHNERT",
"first_name": "CASEY",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-19",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2026047866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
- Bluegrass Pharmabilling LLC
- Bluff Prosthetics & Orthotics, LLC D/B/a Semo Prosthetics & Orthotics (SEMO Prosthetics & Orthotics)
- Mollie Blume, FNP-C
- Amanda Jo Boatwright
- Arielle M Bohnert
- Courtney Ann Bohnert, PA-C, RD, LD
- Matthew K Bokermann, M.D.
- Bridget Ann Boley, LCSW
- James Harley Bollinger, DDS
- Becky J Bomar, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.