AMY L. BOLES MD – NPI #1760473722
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

AMY BOLES is a physician located in MANKATO, MN. NPPES has assigned the NPI number 1760473722 to AMY BOLES on October 31, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name AMY L MEYER. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Jul 09, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMY BOLES below.

NPI Profile for
AMY L. BOLES

NPI Number
1760473722
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
AMY L. BOLES
Former Name: AMY L MEYER
Credentials
MD
Primary location
1421 PREMIER DRIVE
MANKATO CLINIC AT WICKERSHAM CAMPUS
MANKATO, MN 56001
Phone: (507) 625-1811 Fax:
Mailing address
PO BOX 8674
1230 E MAIN STREET MANKATO CLINIC LTD
MANKATO, MN 56001
Phone: (507) 625-1811 Fax:
Sole Proprietor
No
Updated
Certification Date
Jul 09, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AMY BOLES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAMERICA'S PPOMN2443242
OTHERBCBSMN523P5BO
OTHERHEALTH PARTNERSMNHP64495
OTHERIOWA MA0724203
OTHERMEDICAMN01-23833
OTHERPREFERRED ONEMNNA2951047341
OTHERSANFORD HEALTH PLANMN54093
OTHERUCAREMN133219
MEDICAIDMN057753700
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
MN 48427

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
MANKATO CLINIC DIRECT ID, ALLSCRIPTS COMMUNITY
Content Type
CSV
Affiliation
N
Endpoint Location
1421 PREMIER DRIVE,
MANKATO, MN 77025-1669

Additional Information

Education
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA - Graduated 2003
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
AMY BOLES is affiliated with the following medical group(s):
  • HOME HEALTH AGENCY
    • ECUMEN HOME CARE-PATHSTONE
      718 MOUND AVENUE
      MANKATO, MN 56001
  • NURSING HOME
    • BENEDICTINE LIVING COMMUNITY
      1907 KLEIN STREET
      ST PETER, MN 56082
    • HILLCREST CARE & REHABILITATION CENTER
      714 SOUTHBEND AVENUE
      MANKATO, MN 56001
    • MAPLETON COMMUNITY HOME
      301 TROENDLE STREET
      MAPLETON, MN 56065
    • OAKLAWN CARE & REHABILITATION CENTER
      201 OAKLAWN AVENUE
      MANKATO, MN 56001
    • PATHSTONE LIVING
      718 MOUND AVENUE
      MANKATO, MN 56001
  • HOSPICE
    • ECUMEN HOSPICE
      3530 LEXINGTON AVENUE NORTH
      SHOREVIEW, MN 55126
    • MAYO CLINIC HEALTH SYSTEM - MANKATO
      PO BOX 8673
      MANKATO, MN 56002
    • MOMENTS HOSPICE
      820 LILAC DRIVE N STE 210
      GOLDEN VALLEY, MN 55422
    • ST CROIX HOSPICE
      7200 HUDSON BOULEVARD SUITE 100
      OAKDALE, MN 55128

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.