Active NPI
Shauna Lea Bohlken, APRN-CNP
- Family Medicine Physician
- Boonville, MO
National Provider Identifier
1801747118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2026002763
- Practice address
- 11510 Drechsel CT
Boonville, MO 65233-2582 - Phone
- (660) 537-3535
- NPI assigned
- Feb 4, 2026
- Last updated
- Feb 4, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2026002763 | MO | Primary |
Addresses
Primary practice location
11510 Drechsel CT
Boonville, MO 65233-2582
Mailing address
11510 Drechsel CT
Boonville, MO 65233-2582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
909 Ridgebrook Rd
Suite 300
Sparks, MD 21152-9474
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2026002763 | MO | MD | Family Medicine Physician |
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": "1770163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1801747118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11510 DRECHSEL CT",
"city": "BOONVILLE",
"state": "MO",
"postal_code": "652332582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11510 DRECHSEL CT",
"city": "BOONVILLE",
"state": "MO",
"postal_code": "652332582",
"telephone_number": "660-537-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHLKEN",
"first_name": "SHAUNA",
"middle_name": "LEA",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-04",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2026002763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boonville, MO
- Elizabeth Anne Atkinson, LPC
- Axis Chiropractic LLC
- Patrick C Beglau, LPC
- Jeff Birdsong, O.D.
- Brad Lee Boerio, R.PH.
- Boone Physician Services LLC (Boone Health Primary Care - Boonville)
- Boonville Chiropractic LLC
- Boonville No 1 Inc (Lakeview Health Care & Rehabilitation Center)
- Boonville No2 Inc (Riverdell Care Center)
- Boonville Residential LLC (Hartmann Village)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.