Individual provider Active NPI

Amy Lynn Bohler, FNP-BC

  • Nurse Practitioner
  • West Allis, WI
National Provider Identifier
1932690880
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8390-033 Issued in WI
Practice address
8905 W Lincoln Ave Ste 515
West Allis, WI 53227-2470
Phone
(414) 328-8650
Fax
(414) 328-8660
NPI assigned
May 27, 2018
Last updated
Mar 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8390-033 WI Primary
Family Nurse Practitioner 363LF0000X 8390 WI

Addresses

Primary practice location

8905 W Lincoln Ave Ste 515
West Allis, WI 53227-2470

Mailing address

8905 W Lincoln Ave Ste 515
West Allis, WI 53227-2470
Phone (414) 328-8650

Other practice location 1

2350 N Lake Dr # G01
Milwaukee, WI 53211-4528
Phone (414) 585-1556

Other identifiers 1

IdentifierTypeStateIssuer
100078178MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address abohler51521@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20180710001784 WI Practitioner - Nurse Practitioner 0244586063 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

8905 W Lincoln Ave
West Allis, WI 53227-2468
Phone (414) 328-8480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8390-033WIMDNurse Practitioner
8390WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Feb 28, 2022 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Jun 14, 2018 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Feb 28, 2022 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Nurse Practitioner CurrentSince Aug 2, 2018 Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Jun 14, 2018 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

2350 N Lake Dr
#G1
Milwaukee, WI 53211
Phone (414) 585-1556

2350 N Lake Dr
Ste G1
Milwaukee, WI 53211
Phone (414) 291-1556

3821 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-8460

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

8905 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000

8905 W Lincoln Ave
Ste 515
West Allis, WI 53227
Phone (414) 328-8650

Interoperability endpoints

  • Direct secure messaging: abohler51521@direct.myadvocateaurora.org

Organizations & group practices 7

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": "1527379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1932690880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 W LINCOLN AVE STE 515",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272470",
            "telephone_number": "414-328-8650",
            "fax_number": "414-328-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 W LINCOLN AVE STE 515",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272470",
            "telephone_number": "414-328-8650",
            "fax_number": "414-328-8660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 N Lake Dr # G01",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532114528",
            "country_code": "US",
            "telephone_number": "414-585-1556",
            "fax_number": "414-585-1566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHLER",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-27",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8390-033",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8390",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100078178",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abohler51521@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8905 W Lincoln Ave Ste 515",
            "city": "West Allis",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532272470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "8905 W Lincoln Ave Ste 515",
            "city": "West Allis",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532272470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

Verify at the official NPI Registry.