BOHANNAN ANESTHESIA PLLC
NPI 1740758366
Clinic/Center - Ophthalmologic Surgery in Rogers, AR
About Bohannan Anesthesia Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOHANNAN ANESTHESIA PLLC (NPI 1740758366) is a healthcare organization registered as an ophthalmologic surgery in Rogers, Arkansas and active in the NPI registry since November 2018. The organization lists Holly Rae Bohannan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bohannan Anesthesia Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bohannan Anesthesia PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Bohannan Anesthesia PLLC's NPI number?
The NPI number for Bohannan Anesthesia PLLC is 1740758366. It was assigned to this organization in the NPPES registry on November 13, 2018.
Where is Bohannan Anesthesia PLLC located?
Bohannan Anesthesia PLLC is located at 3737 W Walnut St, Rogers, AR 72756. The listed phone number is (479) 246-1751.
What is Bohannan Anesthesia PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ophthalmologic Surgery, with taxonomy code 261QS0132X.
Is Bohannan Anesthesia PLLC enrolled in Medicare?
Yes. Bohannan Anesthesia PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bohannan Anesthesia PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to Bohannan Anesthesia PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bohannan Anesthesia PLLC was last updated on November 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Bohannan Anesthesia Pllc · NPI 1740758366
Ophthalmologic Surgery organization in Rogers, Arkansas. Organization record, active in the CMS NPPES registry since November 13, 2018.
## Identity
- **NPI:** 1740758366 (Entity type: Organization)
- **Enumerated:** November 13, 2018
- **Primary specialty:** Clinic/Center - Ophthalmologic Surgery · taxonomy 261QS0132X
- **Organization subpart:** No
- **Authorized official:** Holly Bohannan, OWNER
## Practice location
- **Address:** 3737 W WALNUT ST, Rogers, AR 72756-1839
- **Phone:** (479) 246-1751
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 13, 2018
- **Other identifiers:** Medicaid 163654001 (AR); Other 771165401 (AR); Medicaid 914302906 (MO); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1740758366) · Data from the CMS NPPES public registry.