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JESSICA BOHM
NPI 1801687074
Speech-Language Pathologist in Fort Gratiot, MI

Active since May 15, 2025
4455 24TH AVE STE 150, FORT GRATIOT, MI 48059(248) 232-0905 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica Bohm NPPES

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

JESSICA BOHM (NPI 1801687074) is an individual speech-language pathologist provider in Fort Gratiot, Michigan and active in the NPI registry since May 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1801687074
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJESSICA BOHM
Location Address4455 24TH AVE STE 150Fort Gratiot, MI 48059-4516
Mailing Address3453 Saint Clair Shores BlvdEast China, MI 48054-1578 · (810) 990-4453
Phone(248) 232-0905
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 15, 2025
NPPES CertifiedMay 15, 2025
✔ NPI 1801687074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
4455 24TH AVE STE 150, Fort Gratiot, MI 48059
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Bohm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698243541
PECOS Enrollment IDI20260508001157

Medicare Billing Reassignment

Medicare enrollment records show Jessica Bohm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ivyrehab Michigan, LLC
66 mi
Sports Medicine
400 ROUNDS DR
Fenton, MI 48430
  • Reassigned Medicare billing, Michigan enrollment
  • 339 clinicians in this Medicare group
NPI 1104337120 (810) 750-1996

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

Other Providers at the Same Location NPPES

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

ANNA HERR
Speech-Language Pathologist
4455 24TH AVE STE 150
FORT GRATIOT, MI 48059
St. Clair County (248) 232-0905

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 Jessica Bohm's NPI number?

The NPI number for Jessica Bohm is 1801687074. It was assigned to this individual provider in the NPPES registry on May 15, 2025.

Where is Jessica Bohm located?

Jessica Bohm practices at 4455 24th Ave Ste 150, Fort Gratiot, MI 48059. The listed phone number is (248) 232-0905.

What is Jessica Bohm's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jessica Bohm enrolled in Medicare?

Yes. Jessica Bohm is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Bohm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Bohm reassigns Medicare benefits to Ivyrehab Michigan, LLC (Fenton, MI). The 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 Jessica Bohm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Bohm accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jessica Bohm 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 Jessica Bohm was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.