Individual provider Active NPI

Megan Elizabeth Bohrer, PA-C

  • Physician Assistant
  • Chillicothe, OH
National Provider Identifier
1265885602
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004669RX Issued in OH
Practice address
80 Star Dr
Chillicothe, OH 45601-9583
Phone
(740) 672-2160
Fax
(740) 672-2161
NPI assigned
Jul 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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 50.004669RX OH Primary

Addresses

Primary practice location

80 Star Dr
Chillicothe, OH 45601-9583

Mailing address

2111 E State St
Athens, OH 45701-2138
Phone (740) 566-4621

Other practice location 1

4439 State Route 159
Suite G50
Chillicothe, OH 45601-8207
Phone (740) 779-8580

Other identifiers 1

IdentifierTypeStateIssuer
0182739MedicaidOH

Other names 1

  • Megan Greenawalt Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.derm@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160929000275 OH Practitioner - Physician Assistant 7618264011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakview DermatologyGroup PAC ID 1254408610, 31 clinicians

Practice addresses (Care Compare)

2111 E State St
Athens, OH 45701-2138
Phone (740) 566-4621

80 Star Dr
Chillicothe, OH 45601-9583
Phone (740) 566-4621

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.22 of 100Reported as group
Quality
90.79
Promoting interoperability
100
Improvement activities
40
Cost
89.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.004669RXOHMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: mbohrer@oakviewderm.emadirect.md

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1265885602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 E STATE ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012138",
            "telephone_number": "740-566-4621",
            "fax_number": "740-566-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 STAR DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019583",
            "telephone_number": "740-672-2160",
            "fax_number": "740-672-2161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4439 State Route 159",
            "address_2": "Suite G50",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456018207",
            "country_code": "US",
            "telephone_number": "740-779-8580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHRER",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004669RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0182739",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.derm@adena.medicity.net",
            "affiliation": "N",
            "address_1": "4439 State Route 159",
            "address_2": "Suite G50",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456018207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "GREENAWALT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.