AMY L BOLES MD NPI 1760473722

NPI Information

  • NPI: 1760473722
  • Provider Name: AMY L BOLES, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1421 PREMIER DRIVE
    MANKATO CLINIC AT WICKERSHAM CAMPUS
    MANKATO, MN
    ZIP 56001
  • Phone: (507) 625-1811

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NPI Details

Amy L Boles, MD is a family medicine in Mankato, MN with 23 years of experience. The provider is 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 L Boles, MD NPI is 1760473722. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduation Year:2003

The provider's business location address is:

1421 PREMIER DRIVE
MANKATO CLINIC AT WICKERSHAM CAMPUS
MANKATO, MN
ZIP 56001
Phone: (507) 625-1811

The NPI 1760473722 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Blood test, clotting time (HCPCS:85610)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Nursing facility discharge management, more than 30 minutes (HCPCS:99316)
  • Hemoglobin a1c level (HCPCS:83036)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)

The enumeration date for this NPI number is 10/31/2005 and was last updated on 7/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine48427MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1133219OTHERMINNESOTAUCARE
201-23833OTHERMINNESOTAMEDICA
3523P5BOOTHERMINNESOTABCBS
4HP64495OTHERMINNESOTAHEALTH PARTNERS
5NA2951047341OTHERMINNESOTAPREFERRED ONE
6057753700MEDICAIDMINNESOTA
70724203OTHERIOWA MA
82443242OTHERMINNESOTAAMERICA'S PPO
954093OTHERMINNESOTASANFORD HEALTH PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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