Individual provider Active NPI

Anndrea Bohn, FNP-C

  • Family Nurse Practitioner
  • Vestal, NY
National Provider Identifier
1982197711
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348172 Issued in NY
Practice address
400 Plaza Dr Ste C
Vestal, NY 13850-3648
Phone
(607) 237-0065
Fax
(888) 832-4418
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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 348172 NY Primary

Addresses

Primary practice location

400 Plaza Dr Ste C
Vestal, NY 13850-3648

Mailing address

24 Stacy Dr
Binghamton, NY 13905-6043
Phone (607) 760-9015

Other practice location 1

415 Hooper Rd
Endwell, NY 13760-3698
Phone (607) 754-3863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210930001861 NY Practitioner - Nurse Practitioner 5698172849

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

415 Hooper Rd
Endwell, NY 13760-3698

Merit-based Incentive Payment System (MIPS)

Final score
83.22 of 100Reported as group
Quality
78.62
Promoting interoperability
96
Improvement activities
40
Cost
68.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: abohn@efp.medentdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1982197711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 STACY DR",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139056043",
            "telephone_number": "607-760-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PLAZA DR STE C",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503648",
            "telephone_number": "607-237-0065",
            "fax_number": "888-832-4418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Hooper Rd",
            "address_purpose": "LOCATION",
            "city": "Endwell",
            "state": "NY",
            "postal_code": "137603698",
            "country_code": "US",
            "telephone_number": "607-754-3863",
            "fax_number": "607-754-5697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHN",
        "first_name": "ANNDREA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.