Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JENNIFER BOHANNAN
NPI 1912417676
Physician Assistant - Surgical in Burlingame, CA

Active since October 09, 2017PECOS Enrolled
1501 TROUSDALE DR, BURLINGAME, CA 94010(650) 696-5400 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2026, Oct 9, 2017 (2 updates tracked since 2017).

About Jennifer Bohannan NPPES

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

JENNIFER BOHANNAN (NPI 1912417676) is an individual surgical provider in Burlingame, California, licensed in California (PA68227) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1912417676
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJENNIFER BOHANNAN
Location Address1501 TROUSDALE DRBurlingame, CA 94010-4506
Mailing AddressPo Box 276950Sacramento, CA 95827-6950
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 9, 2017
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1912417676 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 CA · PA68227
1501 TROUSDALE DR, Burlingame, CA 94010

Secondary Practice Location 1

Location 1600 N Wolfe StBaltimore, MD 21287-0005 · Phone (410) 502-2651

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

Jennifer Bohannan 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 ID2769749472
PECOS Enrollment IDI20240808002775
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.

Hospital Affiliations CMS Care Compare 2

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670056
Location6001 Kyle PkwyKyle, TX 78640 · Hays County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Surgery (Surgical Oncology)
1501 TROUSDALE DR
BURLINGAME, CA 94010
Family Medicine
1501 TROUSDALE DR, 3RD FLOOR
BURLINGAME, CA 94010
Hospitalist
1501 TROUSDALE DR
BURLINGAME, CA 94010
Surgery (Vascular Surgery)
1501 TROUSDALE DR, 5TH FLOOR
BURLINGAME, CA 94010
Hospitalist
1501 TROUSDALE DR
BURLINGAME, CA 94010
Internal Medicine (Cardiovascular Disease)
1501 TROUSDALE DR, 2ND FLOOR
BURLINGAME, CA 94010
Pediatrics
1501 TROUSDALE DR
BURLINGAME, CA 94010
Internal Medicine (Clinical Cardiac Electrophysiology)
1501 TROUSDALE DR
BURLINGAME, CA 94010

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 Jennifer Bohannan's NPI number?

The NPI number for Jennifer Bohannan is 1912417676. It was assigned to this individual provider in the NPPES registry on October 9, 2017.

Where is Jennifer Bohannan located?

Jennifer Bohannan practices at 1501 Trousdale Dr, Burlingame, CA 94010. The listed phone number is (650) 696-5400.

What is Jennifer Bohannan's specialty?

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

Is Jennifer Bohannan enrolled in Medicare?

Yes. Jennifer Bohannan 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 Jennifer Bohannan accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Jennifer Bohannan 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 Jennifer Bohannan affiliated with any hospitals?

According to CMS data, Jennifer Bohannan is affiliated with Ascension Seton Medical Center Austin and Ascension Seton Hays.

When was this NPI record last updated?

The NPPES record for Jennifer Bohannan was last updated on July 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.