Active NPI
Anndrea Bohn, FNP-C
- Family Nurse Practitioner
- Vestal, NY
National Provider Identifier
1982197711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 348172
- 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
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 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 100
- Quality
- 78.62
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 68.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.