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

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.

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. (199 clinicians)

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 Hospital · Monroe, WI · CCN 520028

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 IDStateProvider typePAC IDDetails
I20221025000590 WI Practitioner - Physician Assistant 5698141133 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
7098WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Monroe Clinic, Inc. Current
since Oct 10, 2022
Accepting new patients
The Monroe Clinic, Inc. Current
since Oct 10, 2022
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

  • Direct secure messaging: mbohn435172@direct-ehr-ssmhc.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 12, 2024.

{
    "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

All providers in Albany, WI · Physician Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.