Justin Bohannan, AG-ACNP

NPI: 1124695408

Justin Bohannan, AG-ACNP

Q: What is Justin Bohannan's NPI number?

Justin Bohannan's NPI number is 1124695408, a unique 10-digit identifier issued by CMS.

Q: What does Justin Bohannan specialize in?

Justin Bohannan specializes in Nurse Practitioner, taxonomy code 363LA2100X.

Q: Where does Justin Bohannan practice?

Justin Bohannan practices in Lake Charles, LA 70601-0404.

Q: When was Justin Bohannan's NPI issued?

Justin Bohannan's NPI was issued on June 7, 2021.

Q: What is Justin Bohannan's provider type?

Justin Bohannan is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderNurse Practitioner

NPI issued: June 7, 2021

Quick Facts

NPI Number

1124695408

TypeIndividual

StatusActive

SpecialtyNurse Practitioner

Taxonomy363LA2100X — Nurse Practitioner

Phone

(337) 494-2750

StateLA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1124695408)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (June 7, 2021)

Data source: CMS NPPES

Provider Overview

JUSTIN BOHANNAN, AG-ACNP is a Nurse Practitioner provider based in Lake Charles, LA who has been registered with CMS since 2021. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1124695408

Provider TypeIndividual Provider

GenderMale

CredentialAG-ACNP

StatusActive

Enumeration DateJune 7, 2021

Practice Location

CityLake Charles

StateLA

ZIP Code70601-0404

Phone(337) 494-2750

Specialties & Licenses

★ Primary

SpecialtyNurse Practitioner

Taxonomy Code363LA2100X

License StateLA

Mailing Address

CityLake Charles

StateLA

ZIP Code70601-0404

Phone(337) 494-2750

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1124695408 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1124695408for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1124695408 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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