Kennedie Ann Boehm, DNP, FNP in Vancouver, WA

Kennedie Ann Boehm, DNP, FNP is a medicare enrolled "Nurse Practitioner - Family" in Vancouver, Washington. Her current practice location is 19005 Se 34th St, Vancouver, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 726-6720.

Kennedie Ann Boehm is licensed to practice in Washington (license number AP61329027) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841922895.

Contact Information

	Kennedie Ann Boehm, DNP, FNP
	19005 Se 34th St, Vancouver, WA 98683-1450
	(360) 726-6720
	Not Available

Map and Direction

Provider's Profile

Full Name	Kennedie Ann Boehm
Gender	Female
Speciality	Nurse Practitioner - Family
Location	19005 Se 34th St, Vancouver, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841922895
Provider Enumeration Date: 06/28/2022
Last Update Date: 06/28/2022

Medicare PECOS Information:

PECOS PAC ID: 6305219734
Enrollment ID: I20230306000076

Medical Identifiers

Medical identifiers for Kennedie Ann Boehm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841922895	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP61329027 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kennedie Ann Boehm allows following entities to bill medicare on her behalf.

Entity Name	Sea-mar Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811051170 PECOS PAC ID: 7315831161 Enrollment ID: O20040211001210

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kennedie Ann Boehm is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kennedie Ann Boehm, DNP, FNP 5308 W Legenda Ct, Herriman, UT 84096-5408 Ph: (701) 214-1574	Kennedie Ann Boehm, DNP, FNP 19005 Se 34th St, Vancouver, WA 98683-1450 Ph: (360) 726-6720

Reviews and Comments

Nurse Practitioner Nurses in Vancouver, WA

Mrs. Tracy Lynn Clason, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 Se 124th Ave, Suite 22, Vancouver, WA 98684 Phone: 360-882-7603 Fax: 360-896-0337
Ms. Mary Louise Kroske, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10500 Ne 86th St, Vancouver, WA 98662 Phone: 425-359-6706 Fax: 369-604-6777
Julie Ann Thompson, FNP-C. PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 E 4th Plain Blvd Bldg 11, Vancouver, WA 98661 Phone: 360-696-4061
Shannon Kristine Urban, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16811 Se Mcgillivray Blvd, Vancouver, WA 98683 Phone: 360-735-8100
Mr. Richard Francis Gebhardt, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Main St, Vancouver, WA 98663 Phone: 360-696-5232 Fax: 360-696-5228
Todd Skenandore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2529 Ne 139th St Ste 110, Vancouver, WA 98686 Phone: 360-882-2778
Nina Tran, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 180 Ne 192nd Ave Ste 505, Vancouver, WA 98684 Phone: 503-305-6262

Kennedie Ann Boehm, DNP, FNP - Medicare Nurse Practitioner in Vancouver, WA