Individual provider Active NPI

Christine Ann Bohan, ARNP

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1851554711
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2520322 Issued in FL
Practice address
13550 SW 10TH St Ste B
Pembroke Pines, FL 33027-6445
Phone
(954) 433-9501
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 2520322 FL
Family Nurse Practitioner 363LF0000X ARNP2520322 FL Primary

Addresses

Primary practice location

13550 SW 10TH St Ste B
Pembroke Pines, FL 33027-6445

Mailing address

11105 Stirling Rd
Cooper City, FL 33328-6316
Phone (954) 650-4426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110510000190 FL Practitioner - Nurse Practitioner 8224214291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

11105 Stirling Rd
Cooper City, FL 33328-6316
Phone (305) 689-8648

4800 NE 20TH Ter
Fort Lauderdale, FL 33308-4510

4800 NE 20TH Terrace
201 Uhealth Cardiology at Ft Lauderdale
Fort Lauderdale, FL 33308-4510
Phone (305) 243-3440

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2520322FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
Pembroke Village Medical Center Inc PastSince Nov 9, 2020 Accepting new patients
University of Miami Past Accepting new patients

Locations

21880 State Road 7
Boca Raton, FL 33428
Phone (561) 470-0647

4601 N State Road 7
Coconut Creek, FL 33073
Phone (954) 345-4456

11105 Stirling Rd
Cooper City, FL 33328
Phone (954) 233-0617

4200 SW 8th St
Coral Gables, FL 33134
Phone (305) 444-2544

6458 Linton Blvd
Delray Beach, FL 33484
Phone (561) 638-3403

2855 Stirling Rd
Ft Lauderdale, FL 33312
Phone (954) 981-1104

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1300 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 454-1897

4895 Palm Ave
Hialeah, FL 33012
Phone (305) 231-7454

12001 Southern Blvd
Loxahatchee, FL 33470
Phone (561) 784-7403

4010 SW 137th Ave
Miami, FL 33175
Phone (305) 554-4545

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

11690 SW 72nd St
Miami, FL 33173
Phone (305) 595-3326

15255 SW 137th Ave
Miami, FL 33177
Phone (305) 233-8499

8932 SW 97th Ave
Miami, FL 33176
Phone (305) 270-3485

1669 Collins Ave
Miami Beach, FL 33139
Phone (305) 325-7909

12295 Biscayne Blvd
North Miami, FL 33181
Phone (305) 503-8634

8790 W McNab Rd
Tamarac, FL 33321
Phone (888) 689-8648

1751 Bonaventure Blvd
Weston, FL 33326
Phone (954) 385-0014

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1851554711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11105 STIRLING RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333286316",
            "telephone_number": "954-650-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 SW 10TH ST STE B",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330276445",
            "telephone_number": "954-433-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHAN",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "2520322",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2520322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.