Active NPI
Jessica Faye Bohannon, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Greenville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1179922
- Practice address
- 301 Division St
Greenville, TX 75401-4101 - Phone
- (903) 453-3385
- NPI assigned
- Dec 11, 2024
- Last updated
- Apr 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1179922 | TX | Primary |
Addresses
Primary practice location
301 Division St
Greenville, TX 75401-4101
Mailing address
4161 County Road 2727
Caddo Mills, TX 75135-5624
Phone (903) 461-4100
Other practice location 1
2200 Traders Rd Ste 501
Greenville, TX 75402-8314
Phone (903) 231-3151
Other practice location 2
3012 Ridge Rd Ste 100
Rockwall, TX 75032-1918
Phone (972) 246-8999
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2710 Sunset Strip
Suite D
Greenville, TX 75402-3849
Phone (903) 321-3151
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1780491001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4161 COUNTY ROAD 2727",
"city": "CADDO MILLS",
"state": "TX",
"postal_code": "751355624",
"telephone_number": "903-461-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 DIVISION ST",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754014101",
"telephone_number": "903-453-3385"
}
],
"practiceLocations": [
{
"address_1": "2200 Traders Rd Ste 501",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "TX",
"postal_code": "754028314",
"country_code": "US",
"telephone_number": "903-231-3151",
"fax_number": "903-418-3785",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3012 Ridge Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Rockwall",
"state": "TX",
"postal_code": "750321918",
"country_code": "US",
"telephone_number": "972-246-8999",
"fax_number": "903-418-3785",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOHANNON",
"first_name": "JESSICA",
"middle_name": "FAYE",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-11",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1179922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, TX
- Todd Lane Billingsley, MPT
- Bio-Medical Applications of Texas, Inc. (Fresenius Kidney Care Hunt County Dialysis Center)
- Melinda Bird, BCBA
- Jaszmon Menderiz Blake, CSFA
- Joseph Tracy Bleier, MD
- Rebel Ann Bolden, CST, CSFA
- Amanda Sue Bolton, PHARMD
- Melanie Amber Book, PT
- Borelli Inpatient Services
- Pamela Kay Borowsky, LVN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.