TIMOTHY DANIEL BOHAN CRNA
NPI 1558777029
Nurse Anesthetist, Certified Registered in Murrieta, CA
About Timothy Daniel Bohan Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY DANIEL BOHAN CRNA (NPI 1558777029) is an individual nurse anesthetist, certified registered in Murrieta, California, licensed in California (NA95000225) and active in the NPI registry since July 2014. He is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Timothy Daniel Bohan Crna 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.
Medicare Billing Reassignments
2Medicare enrollment records show Timothy Bohan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hemet, CA 92545
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1952333460 (California)
- 5,228 clinicians in this Medicare group
Apple Valley, CA 92307
- Reassigned Medicare billing, California enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92563 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Timothy Bohan's NPI number?
The NPI number for Timothy Bohan is 1558777029. It was assigned to this individual provider in the NPPES registry on July 6, 2014.
Where is Timothy Bohan located?
Timothy Bohan practices at 30977 Starfire Cir, Murrieta, CA 92563. The listed phone number is (949) 933-9555.
What is Timothy Bohan's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Timothy Bohan enrolled in Medicare?
Yes. Timothy Bohan 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 Timothy Bohan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Bohan reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Hemet, CA) and Cp Nursing Anesthesia Services Inc (Apple Valley, CA). 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 Timothy Bohan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Timothy Bohan was last updated on November 30, 2021. 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.
# Timothy Daniel Bohan, CRNA · NPI 1558777029
Nurse Anesthetist, Certified Registered physician in Murrieta, California. Individual provider, active in the CMS NPPES registry since July 6, 2014.
## Identity
- **NPI:** 1558777029 (Entity type: Individual)
- **Enumerated:** July 6, 2014
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** NA95000225 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 30977 STARFIRE CIR, Murrieta, CA 92563-7999
- **Phone:** (949) 933-9555
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1013433465, Hemet, CA); Cp Nursing Anesthesia Services Inc (NPI 1316185614, Apple Valley, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** November 30, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1558777029) · Data from the CMS NPPES public registry.