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STEPHANIE L BOHANNON PMHNP, APRN
NPI 1104459114
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, AR

Active since February 18, 2020PECOS EnrolledAccepts Medicare Assignment
2566 E JOYCE BLVD STE 2, FAYETTEVILLE, AR 72703(479) 935-1000(479) 935-9200 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2022, Oct 8, 2021, Mar 11, 2021 and 2 more (5 updates tracked since 2020).

About Stephanie L Bohannon Pmhnp, Aprn NPPES

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

STEPHANIE L BOHANNON PMHNP, APRN (NPI 1104459114) is an individual psychiatric/mental health provider in Fayetteville, Arkansas, licensed in Arkansas (124030) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fayetteville, and is a graduate of University Of South Alabama College Of Medicine (2019).

NPPES Registry Identity

NPI1104459114
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSTEPHANIE L BOHANNONCredential: PMHNP, APRN
Location Address2566 E JOYCE BLVD STE 2Fayetteville, AR 72703-3923
Mailing Address2566 E Joyce Blvd Ste 2Fayetteville, AR 72703-3923 · (479) 935-1000 · Fax (417) 350-1935
Phone(479) 935-1000
Fax(479) 935-9200
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2019
Enumeration DateFebruary 18, 2020
Last NPPES UpdateSeptember 21, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
✔ NPI 1104459114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AR · 124030
2566 E JOYCE BLVD STE 2, Fayetteville, AR 72703
Open in Google Maps ↗

Other Names 1

Former Name (1)Stephanie L Parker

Secondary Practice Location 1

Location 1105 N Mill AveFayetteville, AR 72701-4273 · Phone (479) 713-8350 · Fax (479) 713-8375

Other Identifiers 2

Medicaid259152758AR
Medicaid420098635MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Cox HealthPlans, Health Advantage and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie L Bohannon Pmhnp, Aprn 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 ID5496168031
PECOS Enrollment IDI20201229000043
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
66 services16 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
63 services16 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 2

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

SARAH WEATHERFORD APRN
Nurse Practitioner (Psychiatric/Mental Health)
2566 E JOYCE BLVD STE 2
FAYETTEVILLE, AR 72703
Washington County (479) 935-1000
NICHOLAS RODMAN BAHNER APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2566 E JOYCE BLVD STE 2
FAYETTEVILLE, AR 72703
Washington County (479) 935-1000

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 Stephanie Bohannon's NPI number?

The NPI number for Stephanie Bohannon is 1104459114. It was assigned to this individual provider in the NPPES registry on February 18, 2020. The provider is also known as Stephanie L Parker.

Where is Stephanie Bohannon located?

Stephanie Bohannon practices at 2566 E Joyce Blvd Ste 2, Fayetteville, AR 72703. The listed phone number is (479) 935-1000.

What is Stephanie Bohannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stephanie Bohannon enrolled in Medicare?

Yes. Stephanie Bohannon 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.

What insurance does Stephanie Bohannon accept?

Health plans from Arkansas Blue Cross and Blue Shield, Cox HealthPlans, Health Advantage and Octave list Stephanie Bohannon 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.

When was this NPI record last updated?

The NPPES record for Stephanie Bohannon was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.