Individual provider Active NPI

Chelsea Bohac, AGNP-BC

  • Adult Health Nurse Practitioner
  • Katy, TX
National Provider Identifier
1780108175
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP134442 Issued in TX
Practice address
2039 N. Mason Road
Suite 601
Katy, TX 77449
Phone
(713) 589-3775
NPI assigned
Jul 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP134442 TX Primary

Addresses

Primary practice location

2039 N. Mason Road
Suite 601
Katy, TX 77449

Mailing address

2039 N. Mason Rd. Unit 601
Katy, TX 77449-6878
Phone (713) 589-3775

Other practice location 1

462 S Mason Rd Ste 100
Katy, TX 77450-2454
Phone (281) 693-5289

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Www.peakprimarykaty.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220321001440 TX Practitioner - Nurse Practitioner 7810382322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2039 N Mason Rd
Suite 601
Katy, TX 77449-3702
Phone (281) 665-9296

Hospital & facility affiliations

  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Primary Care CurrentSince Mar 1, 2022 Accepting new patients

Locations

2039 N Mason Rd
Ste 601
Katy, TX 77449
Phone (281) 665-9296

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCHJCD/Endpoint/JCHJCD

Organizations & group practices 1

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 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1780108175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 N. MASON RD. UNIT 601",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496878",
            "telephone_number": "713-589-3775",
            "fax_number": "713-589-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 N. MASON ROAD",
            "address_2": "SUITE 601",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77449",
            "telephone_number": "713-589-3775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 S Mason Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774502454",
            "country_code": "US",
            "telephone_number": "281-693-5289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHAC",
        "first_name": "CHELSEA",
        "credential": "AGNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP134442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Www.peakprimarykaty.com",
            "affiliation": "N",
            "address_1": "2039 N. Mason Road",
            "address_2": "Suite 601",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.