Individual provider Active NPI

Madison Nicole Bohlken

  • Physician Assistant
  • Monticello, IA
National Provider Identifier
1184447690
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
136844 Issued in IA
Practice address
740 E Oak St
Monticello, IA 52310-1745
Phone
(329) 465-6702
NPI assigned
Nov 4, 2024
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 136844 IA Primary

Addresses

Primary practice location

740 E Oak St
Monticello, IA 52310-1745

Mailing address

740 E Oak St
Monticello, IA 52310-1745
Phone (319) 465-6702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20260318000161 IA Practitioner - Physician Assistant 4486138559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1776 W Lakes Pkwy
West Des Moines, IA 50266-8378

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
136844IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Jones Regional Medical Center CurrentSince May 4, 2026 Accepting new patients
St. Luke's Jones Regional Medical Center Physician Assistant CurrentSince May 4, 2026 Accepting new patients

Locations

740 E Oak St
Monticello, IA 52310
Phone (319) 364-7101

Organizations & group practices 2

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

Hospital & facility affiliations 2

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": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1184447690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 E OAK ST",
            "city": "MONTICELLO",
            "state": "IA",
            "postal_code": "523101745",
            "telephone_number": "319-465-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E OAK ST",
            "city": "MONTICELLO",
            "state": "IA",
            "postal_code": "523101745",
            "telephone_number": "329-465-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLKEN",
        "first_name": "MADISON",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "136844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, IA

Sources for this page

Verify at the official NPI Registry.