LAKIESHA BOHANNON PA
NPI 1255889853
Physician Assistant - Surgical in Richardson, TX

Active since September 13, 2016PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3600 SHIRE BLVD STE 104, RICHARDSON, TX 75082(972) 487-6400 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2020, Sep 13, 2016 (2 updates tracked since 2016).

About Lakiesha Bohannon Pa NPPES

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

LAKIESHA BOHANNON PA (NPI 1255889853) is an individual surgical provider in Richardson, Texas, licensed in Texas (PA13729) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Medical City Denton, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255889853
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameLAKIESHA BOHANNONCredential: PA
Location Address3600 SHIRE BLVD STE 104Richardson, TX 75082-2236
Mailing Address3600 Shire Blvd Ste 104Richardson, TX 75082-2236 · (972) 487-6400
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 13, 2016
Last NPPES UpdateAugust 4, 20202 updates tracked since enumeration
NPPES CertifiedAugust 4, 2020
NPI 1255889853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in TX · PA13729
3600 SHIRE BLVD STE 104, Richardson, TX 75082

Accepted 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

Lakiesha Bohannon Pa 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 ID1153746334
PECOS Enrollment IDI20200805000883
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 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
122 services44 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
98 services37 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
24 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
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.
19 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services14 patients

Hospital Affiliations CMS Care Compare

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

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 4

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

Surgery
3600 SHIRE BLVD STE 104
RICHARDSON, TX 75082
Surgery
3600 SHIRE BLVD STE 104
RICHARDSON, TX 75082
Surgery
3600 SHIRE BLVD STE 104
RICHARDSON, TX 75082
Surgery
3600 SHIRE BLVD STE 104
RICHARDSON, TX 75082

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 Lakiesha Bohannon's NPI number?

The NPI number for Lakiesha Bohannon is 1255889853. It was assigned to this individual provider in the NPPES registry on September 13, 2016.

Where is Lakiesha Bohannon located?

Lakiesha Bohannon practices at 3600 Shire Blvd Ste 104, Richardson, TX 75082. The listed phone number is (972) 487-6400.

What is Lakiesha Bohannon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Lakiesha Bohannon enrolled in Medicare?

Yes. Lakiesha 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 Lakiesha Bohannon accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Lakiesha 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.

Is Lakiesha Bohannon affiliated with any hospitals?

According to CMS data, Lakiesha Bohannon is affiliated with Medical City Denton.

When was this NPI record last updated?

The NPPES record for Lakiesha Bohannon was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.