Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jaclyn J Bohm, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1306005111

Dr. Jaclyn J Bohm, DPM is a Podiatry in Rosemount, Minnesota. Graduated from Kent State University College of Podiatric Medicine in 2008, 18 years ago. Practices with Fairview Specialty Services, a 304-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
18
Trained at
Kent State University College of Podiatric Medicine
Licensed in
MN
In the registry since
2008
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

15705 Cimarron Ave
Rosemount, MN 55068
Phone: (651) 322-8800
Fax: (651) 322-8840
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 842 (MN)

Record details

NPI number1306005111
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 6, 2008
Last updated in NPPESJuly 25, 2012
Mailing address15075 Cimarron Ave, Rosemount, MN 55068-1635

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2008 (18 years in practice)
Group practice Fairview Specialty Services — 304 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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