Amy R. Bohland, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Schaumburg, IL
NPI 1780145151 · NPPES record last updated Apr 3, 2019
Key facts
- NPI
- 1780145151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209.019069 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Morris Hospital
Practice addresses (Care Compare)
389 E Main St
Braidwood, IL 60408-2010
Phone (815) 458-2532
Hospital & facility affiliations
- Resilience Home Health, LLC
- Morris Hospital & Healthcare Centers
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190424001864 | IL | Practitioner - Nurse Practitioner | 2466794359 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.421182 | IL | MD | General Practice Registered Nurse |
| 209.019069 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morris Hospital | Current |
Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Morris Hospital | Current |
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
725 School St
Ste A
Morris, IL 60450
150 W High St
Morris, IL 60450
Phone (815) 942-2129
1306 Gemini Cir
Ste 1
Ottawa, IL 61350
Phone (815) 433-9200
Interoperability endpoints
- amy.bohland.1@14307.direct.athenahealth.com
- amy.bohland@direct-address.org
- amy.bohland.p1@direct.thmg.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 041.421182 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209.019069 | IL | Yes |
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
Other providers in Schaumburg, IL
- Blue Light ABA Consultants
- Alicia Bobak
- Kailyn Bobb
- Ronald Joseph Boduch
- Brenda Ann Bogue
- Kelly Bohn
- Alyssa Bolhous
- Lori Ann Bolnick
- Bonaventure Medical Foundation, LLC
- Jeffrey Troy Bondora
All providers in Schaumburg, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.