Active NPI
Robert David Bohnert, DNP, APRN, FNP-C
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2021037378
- Practice address
- 10012 Kennerly Rd Ste 102
Saint Louis, MO 63128-2197 - Phone
- (314) 543-5911
- NPI assigned
- Sep 16, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2021037378 | MO | Primary |
Addresses
Primary practice location
10012 Kennerly Rd Ste 102
Saint Louis, MO 63128-2197
Mailing address
1300 Shirley LN
Festus, MO 63028-4328
Phone (636) 524-2328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Mississippi School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10012 Kennerly Rd
Suite 102
Saint Louis, MO 63128-2197
Phone (314) 543-5911
Hospital & facility affiliations
- Ste Genevieve County Memorial Hospital
- Mercy Hospital South
- Mercy Hospital St Louis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ste Genevieve County Memorial Hospital | Current | Accepting new patients | |
| Ste Genevieve County Memorial Hospital | Current | Accepting new patients | |
| Mercy Clinic Gastroenterology, LLC | Current | Accepting new patients | |
| Ste Genevieve County Memorial Hospital | Current | Accepting new patients |
Locations
255 Boderman
Bloomsdale, MO 63627
Phone (573) 483-2727
200 Brevco Plz
Ste 208
Lake St Louis, MO 63367
Phone (314) 251-3880
10012 Kennerly Rd
Ste 102
Saint Louis, MO 63128
Phone (314) 525-4225
590 Pine Dr
Ste Genevieve, MO 63670
Phone (573) 883-4455
120 Plaza Dr
Ste Genevieve, MO 63670
Phone (573) 883-1199
753 Pointe Basse Dr
Ste Genevieve, MO 63670
Phone (573) 883-2782
800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Saint Louis, MO
- NPI 1528295334
-
- Rural Health Clinic/Center
- Bloomsdale, MO
- NPI 1184658387
-
- Surgery Physician
- Ste Genevieve, MO
- NPI 1619026580
-
- Rural Health Clinic/Center
- Ste Genevieve, MO
- NPI 1801817416
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- Critical Access Hospital
- Ste Genevieve, MO
- NPI 1073587655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1174293559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 SHIRLEY LN",
"city": "FESTUS",
"state": "MO",
"postal_code": "630284328",
"telephone_number": "636-524-2328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD STE 102",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-543-5911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHNERT",
"first_name": "ROBERT",
"middle_name": "DAVID",
"credential": "DNP, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-16",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2021037378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.