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

Kristina Ann Bohm, FNP

Individual provider Family Nurse Practitioner · NPI 1194071449

Kristina Ann Bohm, FNP is a Nurse Practitioner in Plymouth, Minnesota. Qualified in 2020, 6 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2012
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4155 County Road 101 N
Plymouth, MN 55446-2307
Phone: (952) 993-8900
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 30 7th Ave S, Saint Cloud, MN 56301-4213 — (216) 404-8436

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2081 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R182757-0 (MN)

Record details

NPI number1194071449
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 24, 2012
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Plymouth