Kerry Bohlken, APRN, FNP-C

Key facts

NPI

1679275697

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

NUR-APRN-LIC-213847 (MT)

Practice address

445 Centennial Ave
Butte, MT 59701-2870

Phone

(406) 723-4075

NPI assigned

Mar 21, 2023

Sex

Female

Sole proprietor

No

Organizations & group practices 4

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.

• Butte Silver Bow Primary Health Care Clinic Inc Federally Qualified Health Center (FQHC) · Butte, MT · NPI 1285725143
  Medicare reassignment Care Compare group NPD MT
• Butte Silver Bow Primary Health Care Clinic Inc Federally Qualified Health Center (FQHC) · Anaconda, MT · NPI 1225502073
  Care Compare group NPD
• Butte Silver Bow Primary Health Care Clinic Inc Federally Qualified Health Center (FQHC) · Dillon, MT · NPI 1235238718
  Care Compare group
• Butte Silver Bow Primary Health Care Clinic Inc Community/Retail Pharmacy · Dillon, MT · NPI 1144883984
  NPD

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beta Factor Home Care, LLC Home Health Agency · Butte, MT · NPI 1982963930
  Care Compare affiliation Home health agency
• St James Healthcare General Acute Care Hospital · Butte, MT · NPI 1528037215
  Care Compare affiliation Hospital
• St. James Healthcare Clinical Medical Laboratory · Butte, MT · NPI 1023355849
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Butte Silver Bow Primary Health Care Clinic Inc (27 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Compassus Home Health - Butte Home health agency · Butte, MT · CCN 277058
• St James Hospital Hospital · Butte, MT · CCN 270017

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbohlken524470@direct.ochin.org

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 21, 2023.

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1679275697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CENTENNIAL AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012870",
            "telephone_number": "406-723-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CENTENNIAL AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012870",
            "telephone_number": "406-723-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLKEN",
        "first_name": "KERRY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-213847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Butte, MT · Family Nurse Practitioner in Montana