Active NPI
Kerilyn Krake Bohn, PA-C
- Physician Assistant
- Webster City, IA
National Provider Identifier
1720190127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 098740
- Practice address
- 2502 Inkpaduta Ave
Webster City, IA 50595-7312 - Phone
- (319) 230-8375
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 9101709 | FL | |
| Medical Physician Assistant | 363AM0700X | PA9101709 | FL | |
| Physician Assistant | 363A00000X | 098740 | IA | Primary |
Addresses
Primary practice location
2502 Inkpaduta Ave
Webster City, IA 50595-7312
Mailing address
2502 Inkpaduta Ave
Webster City, IA 50595-7312
Phone (319) 230-8375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001536600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250424000486 | IA | Practitioner - Physician Assistant | 9537201793 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098740 | IA | MD | Physician Assistant |
| 9101709 | FL | MD | Medical Physician Assistant |
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1720190127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2502 INKPADUTA AVE",
"city": "WEBSTER CITY",
"state": "IA",
"postal_code": "505957312",
"telephone_number": "319-230-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2502 INKPADUTA AVE",
"city": "WEBSTER CITY",
"state": "IA",
"postal_code": "505957312",
"telephone_number": "319-230-8375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHN",
"first_name": "KERILYN",
"middle_name": "KRAKE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "9101709",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9101709",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "098740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001536600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Webster City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.