Individual provider Active NPI

Karen R Bohaty, APRN

  • Family Nurse Practitioner
  • Weeping Water, NE
National Provider Identifier
1972798288
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110891 Issued in NE
Practice address
204 N Randolph St
Weeping Water, NE 68463-4253
Phone
(402) 267-5330
Fax
(402) 267-5331
NPI assigned
Sep 10, 2007
Last updated
Aug 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 110891 NE Primary

Addresses

Primary practice location

204 N Randolph St
Weeping Water, NE 68463-4253

Mailing address

PO Box M
Syracuse, NE 68446-0517
Phone (402) 269-2011

Other identifiers 3

IdentifierTypeStateIssuer
254730OtherNEMIDLANDS CHOICE
200533560AMedicaidKS
39291OtherNEBCBS

Other names 1

  • Karen R Kunze Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20071001000822 NE Practitioner - Nurse Practitioner 6406941764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nebraska College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians

Practice addresses (Care Compare)

3901 Pine Lake Rd
Suite 335
Lincoln, NE 68516-5497
Phone (402) 483-3700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Physician Network CurrentSince Mar 14, 2016 Accepting new patients
Community Memorial Hospital District Past Accepting new patients
Seward Urgent Care Partnership LLC Past Accepting new patients
Community Memorial Hospital District Past Accepting new patients

Locations

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

3901 Pine Lake Rd
Ste 335
Lincoln, NE 68516
Phone (402) 416-2221

4333 S 86th St
Ste 101
Lincoln, NE 68526
Phone (402) 481-6343

5901 N 27th St
Ste 101
Lincoln, NE 68521
Phone (402) 481-6343

7501 S 27th St
Lincoln, NE 68512
Phone (402) 481-6300

2731 Healthcare Dr
Syracuse, NE 68446
Phone (402) 269-2011

202 High St
Tecumseh, NE 68450
Phone (402) 274-4373

Interoperability endpoints

  • Direct secure messaging: kbohaty10946@hisp.bryanhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1972798288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX M",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684460517",
            "telephone_number": "402-269-2011",
            "fax_number": "402-269-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N RANDOLPH ST",
            "city": "WEEPING WATER",
            "state": "NE",
            "postal_code": "684634253",
            "telephone_number": "402-267-5330",
            "fax_number": "402-267-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHATY",
        "first_name": "KAREN",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "254730",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200533560A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "39291",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "KUNZE",
            "middle_name": "R",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weeping Water, NE

Sources for this page

Verify at the official NPI Registry.