Individual provider Active NPI

Amy R. Bohland, FNP-BC

  • Family Nurse Practitioner
  • Schaumburg, IL
National Provider Identifier
1780145151
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.019069 Issued in IL
Practice address
1355 Remington Rd Ste H
Schaumburg, IL 60173-4818
Phone
(630) 701-9009
Fax
(630) 701-9010
NPI assigned
Mar 28, 2019
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 041.421182 IL
Family Nurse Practitioner 363LF0000X 209.019069 IL Primary

Addresses

Primary practice location

1355 Remington Rd Ste H
Schaumburg, IL 60173-4818

Mailing address

1511 Waverly PL
Joliet, IL 60435-4143
Phone (815) 693-9259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20190424001864 IL Practitioner - Nurse Practitioner 2466794359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris HospitalGroup PAC ID 1850372459, 115 clinicians

Practice addresses (Care Compare)

389 E Main St
Braidwood, IL 60408-2010
Phone (815) 458-2532

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041.421182ILMDGeneral Practice Registered Nurse
209.019069ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Hospital CurrentSince Apr 18, 2022 Accepting new patients
Morris Hospital CurrentSince Apr 18, 2022 Accepting new patients
Morris Hospital CurrentSince Apr 18, 2022 Accepting new patients
Morris Hospital Current Accepting new patients
Rezin Orthopedics and Sports Medicine, SC Past Accepting new patients

Locations

389 E Main St
Braidwood, IL 60408
Phone (815) 458-2532

27240 W Saxony Dr
Ste 201
Channahon, IL 60410
Phone (815) 467-1518

580 Sycamore St
Marseilles, IL 61341
Phone (815) 795-2122

1300 Dresden Dr
Morris, IL 60450
Phone (815) 942-5200

150 W High St
Morris, IL 60450
Phone (815) 942-2129

725 School St
Ste A
Morris, IL 60450

1306 Gemini Cir
Ste 1
Ottawa, IL 61350
Phone (815) 433-9200

Interoperability endpoints

  • Direct secure messaging: amy.bohland.1@14307.direct.athenahealth.com
  • Direct secure messaging: amy.bohland.p1@direct.thmg.nextgenshare.com
  • Direct secure messaging: amy.bohland@direct-address.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1780145151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 WAVERLY PL",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604354143",
            "telephone_number": "815-693-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 REMINGTON RD STE H",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734818",
            "telephone_number": "630-701-9009",
            "fax_number": "630-701-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLAND",
        "first_name": "AMY",
        "middle_name": "R.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IL",
            "license": "041.421182",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.019069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.