Individual provider Active NPI

Patricia J Bohart, MD

  • Psychiatry Physician
  • Lincoln, NE
National Provider Identifier
1760437610
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
18843 Issued in NE
Practice address
3901 Normal Blvd Ste 201
Lincoln, NE 68506-5250
Phone
(402) 261-4017
Fax
(402) 261-4137
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 18843 NE Primary

Addresses

Primary practice location

3901 Normal Blvd Ste 201
Lincoln, NE 68506-5250

Mailing address

1123 N 9TH St
Beatrice, NE 68310-2041
Phone (402) 228-3386

Other practice location 1

1123 N 9th St
Beatrice, NE 68310-2041
Phone (402) 228-3386

Other practice location 2

355 E 4th St
Wahoo, NE 68066-1920
Phone (402) 443-4414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060109000802 NE Practitioner - Psychiatry 5597788299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Nebraska College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blue Valley Behavioral Health Inc 32 clinicians

Practice addresses (Care Compare)

3901 Normal Blvd
Suite 201
Lincoln, NE 68506-5250
Phone (402) 261-4017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Valley Behavioral Health Inc CurrentSince Oct 21, 2019 Accepting new patients
University of Nebraska Board of Regents Past Accepting new patients
Bryan Physician Network Psychiatry Past Accepting new patients

Locations

1123 N 9th St
Beatrice, NE 68310
Phone (402) 228-3386

3901 Normal Blvd
Ste 201
Lincoln, NE 68506
Phone (402) 261-4017

355 E 4th St
Wahoo, NE 68066
Phone (402) 443-4414

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1760437610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 N 9TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102041",
            "telephone_number": "402-228-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 NORMAL BLVD STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065250",
            "telephone_number": "402-261-4017",
            "fax_number": "402-261-4137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1123 N 9th St",
            "address_purpose": "LOCATION",
            "city": "Beatrice",
            "state": "NE",
            "postal_code": "683102041",
            "country_code": "US",
            "telephone_number": "402-228-3386",
            "fax_number": "402-228-2004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Wahoo",
            "state": "NE",
            "postal_code": "680661920",
            "country_code": "US",
            "telephone_number": "402-443-4414",
            "fax_number": "402-443-3462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHART",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "18843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.