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JACQUELINE BOHN MD
NPI 1104357540
Obstetrics & Gynecology - Gynecologic Oncology in Oklahoma City, OK

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment
800 NE 10TH ST # 5050, OKLAHOMA CITY, OK 73104(405) 271-7770(405) 271-1006 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 14, 2021, Mar 27, 2017 (2 updates tracked since 2017).

About Jacqueline Bohn Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE BOHN MD (NPI 1104357540) is an individual gynecologic oncology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (MD38927) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Norman Regional, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1104357540
Entity TypeIndividualFemale
Primary Taxonomy207VX0201X
Provider Legal NameJACQUELINE BOHNCredential: MD
Location Address800 NE 10TH ST # 5050Oklahoma City, OK 73104-5418
Mailing Address800 Ne 10th St # 5050Oklahoma City, OK 73104-5418 · (405) 271-7770 · Fax (405) 271-1006
Phone(405) 271-7770
Fax(405) 271-1006
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 27, 2017
Last NPPES UpdateMay 31, 20222 updates tracked since enumeration
NPPES CertifiedMay 31, 2022
✔ NPI 1104357540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in OK · MD38927
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD192986 (OR)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
800 NE 10TH ST # 5050, Oklahoma City, OK 73104
Open in Google Maps ↗

Secondary Practice Location 1

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3011 · Phone (503) 494-8211

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health, Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Bohn Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062785165
PECOS Enrollment IDI20250904003299
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Jacqueline Bohn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ou Health Partners, Inc
0.2 mi
Multi-Specialty
1200 CHILDRENS AVE STE 11200
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,795 clinicians in this Medicare group
NPI 1528642642 (405) 271-3932
University Professional Services
1,383 mi
Multi-Specialty
2858 EBERLEIN AVE
Klamath Falls, OR 97603
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 clinicians in this Medicare group
NPI 1659605707 (503) 494-9000
Tuality Medical Group LLC
1,501 mi
Neurology
364 SE 8TH AVE STE 101
Hillsboro, OR 97123
  • Reassigned Medicare billing, Oregon enrollment
  • 691 clinicians in this Medicare group
NPI 1639690704 (503) 681-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Norman Regional

Acute Care Hospitals · Norman, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370008
Location3300 Healthplex PkwyNorman, OK 73072 · Cleveland County
Emergency services Birthing friendly

Comanche County Memorial Hospital

Acute Care Hospitals · Lawton, OK
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370056
Location3401 West Gore BlvdLawton, OK 73505 · Comanche County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$162.61 typical visit price
range $53.00 – $162.61
Typical copayment $40.65 (range $13.25 – $40.65)
Most-billed visit code 99205
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARA CASTELLANO MD
Obstetrics & Gynecology (Gynecologic Oncology)
800 NE 10TH ST # 5050
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-7770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Bohn's NPI number?

The NPI number for Jacqueline Bohn is 1104357540. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Jacqueline Bohn located?

Jacqueline Bohn practices at 800 NE 10th St # 5050, Oklahoma City, OK 73104. The listed phone number is (405) 271-7770.

What is Jacqueline Bohn's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Jacqueline Bohn enrolled in Medicare?

Yes. Jacqueline Bohn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jacqueline Bohn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Bohn reassigns Medicare benefits to 3 organizations: Ou Health Partners, Inc (Oklahoma City, OK), University Professional Services (Klamath Falls, OR) and Tuality Medical Group LLC (Hillsboro, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Bohn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Bohn accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and Moda Health Plan, Inc. list Jacqueline Bohn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacqueline Bohn affiliated with any hospitals?

According to CMS data, Jacqueline Bohn is affiliated with Norman Regional, Comanche County Memorial Hospital and O U Medical Center.

When was this NPI record last updated?

The NPPES record for Jacqueline Bohn was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.