Amanda E Bohn, AUD
Individual provider Active NPI Audiologist · Saint Peter, MN
NPI 1376978874 · NPPES record last updated Jan 22, 2024
Key facts
- NPI
- 1376978874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 9791 (MN)
- Practice address
- 400 S 3Rd St
Saint Peter, MN 56082-2032 - Phone
- (507) 508-6951
- Fax
- (507) 512-1372
- NPI assigned
- Sep 4, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- At Still University, Arizona School of Dentistry & Oral HLTH, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
400 S 3Rd St
Saint Peter, MN 56082-2032
Phone (507) 508-6951
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161103001484 | MN | Practitioner - Qualified Audiologist | 1153555677 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA851 | AZ | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axe Audiology, LLC | Audiologist-Hearing Aid Fitter | Current |
Accepting new patients |
| Personal Hearing Care LLC | Audiologist | Current |
Accepting new patients |
Locations
1700 Highway 36 W
Ste 125
Roseville, MN 55113
Phone (651) 746-0400
393 Dunlap St N
Ste 115
Saint Paul, MN 55104
Phone (651) 646-2427
2550 University Ave W
Ste 135N
Saint Paul, MN 55114
Phone (651) 644-8993
400 S 3rd St
Saint Peter, MN 56082
Phone (507) 508-6951
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | DA851 | AZ | |
| Audiologist | 231H00000X | 9791 | MN | Yes |
| Audiologist-Hearing Aid Fitter | 237600000X | 9791 | MN |
Addresses
Primary practice location
400 S 3Rd St
Saint Peter, MN 56082-2032
Mailing address
400 S 3Rd St
Saint Peter, MN 56082-2032
Phone (507) 508-6951
Other providers in Saint Peter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.