Morgan S Bohn, PA-C
Individual provider Active NPI Physician Assistant · Albany, WI
NPI 1679158646 · NPPES record last updated Jan 12, 2024
Key facts
- NPI
- 1679158646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 700 Carolan Dr
Albany, WI 53502-9350 - Phone
- (608) 862-1616
- NPI assigned
- Mar 11, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Monroe Clinic, Inc.
Practice addresses (Care Compare)
1904 1St Ctr Ave
Brodhead, WI 53520-1900
Phone (608) 897-2191
515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-2000
700 Carolan Dr
Albany, WI 53502-9350
Phone (608) 862-1616
Hospital & facility affiliations
- The Monroe Clinic
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- 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 |
|---|---|---|---|---|
| I20221025000590 | WI | Practitioner - Physician Assistant | 5698141133 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7098 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Monroe Clinic, Inc. | Current |
Accepting new patients | |
| The Monroe Clinic, Inc. | Current |
Accepting new patients |
Locations
700 Carolan Dr
Albany, WI 53502
Phone (608) 862-1616
1904 1st Center Ave
Brodhead, WI 53520
Phone (608) 897-2191
2009 5th St
Monroe, WI 53566
Phone (608) 324-1454
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Interoperability endpoints
- mbohn435172@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
700 Carolan Dr
Albany, WI 53502-9350
Mailing address
700 Carolan Dr
Albany, WI 53502-9350
Phone (608) 228-4873
Other practice location 1
3200 Grand Ave
Des Moines, IA 50312-4104
Phone (515) 271-1569
Other practice location 2
515 22nd Ave
Monroe, WI 53566-1569
Phone (608) 324-2000
NPI Registry JSON
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1679158646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CAROLAN DR",
"city": "ALBANY",
"state": "WI",
"postal_code": "535029350",
"telephone_number": "608-228-4873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CAROLAN DR",
"city": "ALBANY",
"state": "WI",
"postal_code": "535029350",
"telephone_number": "608-862-1616"
}
],
"practiceLocations": [
{
"address_1": "3200 Grand Ave",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503124104",
"country_code": "US",
"telephone_number": "515-271-1569",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "515 22nd Ave",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "WI",
"postal_code": "535661569",
"country_code": "US",
"telephone_number": "608-324-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOHN",
"first_name": "MORGAN",
"middle_name": "S",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-11",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, WI
- Albany Area EMS Inc
- Albany School District
- Tracy Lynn Anderson
- Angela Douglas
- Britt Thomas Hall
- Kelly Dunphy RN
- Annie Laurie Larson
- Denise M May
All providers in Albany, WI · Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 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.
- 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.