Kaylee Bohn
Individual provider Active NPI Family Nurse Practitioner · Peru, IN
NPI 1619835196 · NPPES record last updated Jan 13, 2026
Key facts
- NPI
- 1619835196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 28272542A (IN)
- Practice address
- 285 W 12TH St Ste 205
Peru, IN 46970-1654 - Phone
- (765) 288-1928
- NPI assigned
- Jan 13, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
240 N Tillotson Ave
Muncie, IN 47304-3988
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260302002362 | IN | Practitioner - Nurse Practitioner | 3072095876 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28272542A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridian Health Services Corp | Current |
Accepting new patients | |
| Meridian Health Services Corp. | Current |
Accepting new patients |
Locations
285 W 12th St
Ste 205
Peru, IN 46970
Phone (765) 472-5335
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28272542A | IN | Yes |
Addresses
Primary practice location
285 W 12TH St Ste 205
Peru, IN 46970-1654
Mailing address
620 Wallace Ave
Peru, IN 46970-2885
Other names
- Kaylee Brooks
Other providers in Peru, IN
- Gladys Blackburn
- Blair Emergency Physicians
- Maren Blevins
- Blue Sky Transportation, LLC
- Board of Trustees of Howard Community Hospital
- Bona Vista Programs, Inc.
- Bona Vista Programs, Inc.
- Lisa Anne Boothby
- Bower Family Dentistry
- Skye Bower
All providers in Peru, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2026. 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.
- Order and Referring (CMS).
- 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.