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JAMES A BOLES MD
NPI 1093752412
Internal Medicine in Mankato, MN

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
1025 MARSH ST, MANKATO, MN 56001(507) 625-4031 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 28, 2022, Oct 16, 2020 (2 updates tracked since 2020).

About James A Boles Md NPPES

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

JAMES A BOLES MD (NPI 1093752412) is an individual internal medicine provider in Mankato, Minnesota, licensed in Minnesota (48428) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System - Mankato, and maintains a secondary practice location in Mankato.

NPPES Registry Identity

NPI1093752412
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES A BOLESCredential: MD
Location Address1025 MARSH STMankato, MN 56001-4752
Mailing Address1025 Marsh StMankato, MN 56001-4752 · (507) 625-1811
Phone(507) 625-4031
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2003
Enumeration DateJune 2, 2006
Last NPPES UpdateJuly 28, 20222 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1093752412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 48428
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1025 MARSH ST, Mankato, MN 56001
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Secondary Practice Location 1

Location 11230 E Main Street, Mankato Clinic Main StreetMankato, MN 56001 · Phone (507) 625-1811

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James A Boles Md 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 ID9335151547
PECOS Enrollment IDI20060706000199
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.

Medicare Billing Reassignments

5

Medicare enrollment records show James Boles reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayo Clinic Health System-Southwest Minnesota Region
0.1 mi
Multi-Specialty
1025 MARSH ST
Mankato, MN 56001
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1740256668 (Minnesota), NPI 1124035282 (Minnesota)
  • 1,572 clinicians in this Medicare group
NPI 1578545422 (507) 625-4031
Mayo Clinic Health System-St James
33 mi
Critical Access
1101 MOULTON AND PARSONS DR
Saint James, MN 56081
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1023177730 (Minnesota)
  • 390 clinicians in this Medicare group
NPI 1639198732 (507) 375-3261
Mayo Clinic Health System-Southeast Minnesota Region
37 mi
Multi-Specialty
2200 NW 26TH ST
Owatonna, MN 55060
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1063435410 (Minnesota)
  • 1,571 clinicians in this Medicare group
NPI 1275060030 (507) 451-1120
Mayo Clinic Health System-Fairmont
43 mi
Multi-Specialty
800 MEDICAL CENTER DR
Fairmont, MN 56031
  • Reassigned Medicare billing, Minnesota enrollment
  • 806 clinicians in this Medicare group
NPI 1366410862 (507) 238-8100
Mayo Clinic Health System-Lake City
87 mi
Critical Access
500 W GRANT ST
Lake City, MN 55041
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1164463659 (Minnesota)
  • 675 clinicians in this Medicare group
NPI 1538113022 (651) 345-3321

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
361 services159 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
67 services67 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240093
Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County
Emergency services Birthing friendly

Mayo Clinic Health System St. James

Critical Access Hospitals · St James, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241333
Location1101 Moulton And Parsons DriveSt James, MN 56081 · Watonwan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KRISTIN MARIE CLIFFORD CNP
Nurse Practitioner
1025 MARSH ST
MANKATO, MN 56001
Blue Earth County (507) 625-4031
PAUL L JOHNSON M.D.
Anesthesiology
1025 MARSH ST
MANKATO, MN 56001
Blue Earth County (507) 345-2623
ELIZABETH CUMBERLAND NP
Nurse Practitioner (Family)
1025 MARSH ST
MANKATO, MN 56001
Blue Earth County (507) 625-4031
DR. IGNACIO JUSUE TORRES M.D.
Neurological Surgery
1025 MARSH ST
MANKATO, MN 56001
Blue Earth County (507) 625-1811
OMAR G FERRER ARNP
Nurse Practitioner
1025 MARSH ST
MANKATO, MN 56001
Blue Earth County (507) 625-4031
JENNA JACKSON PHARM.D., R.PH.
Pharmacist
1025 MARSH ST
MANKATO, MN 56001
Blue Earth County (507) 594-2999
SHARON R BRANDT CRNA
Nurse Anesthetist, Certified Registered
1025 MARSH ST
MANKATO, MN 56001
Blue Earth County (507) 625-4031
RIPUDAMANJIT SINGH MD
Internal Medicine (Interventional Cardiology)
1025 MARSH ST
MANKATO, MN 56001
Blue Earth County (507) 625-4031

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 James Boles's NPI number?

The NPI number for James Boles is 1093752412. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is James Boles located?

James Boles practices at 1025 Marsh St, Mankato, MN 56001. The listed phone number is (507) 625-4031.

What is James Boles's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Boles enrolled in Medicare?

Yes. James Boles 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.

Which organizations bill Medicare for James Boles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Boles reassigns Medicare benefits to 5 organizations: Mayo Clinic Health System-Southwest Minnesota Region (Mankato, MN), Mayo Clinic Health System-St James (Saint James, MN), Mayo Clinic Health System-Southeast Minnesota Region (Owatonna, MN), Mayo Clinic Health System-Fairmont (Fairmont, MN) and Mayo Clinic Health System-Lake City (Lake City, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Boles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Boles affiliated with any hospitals?

According to CMS data, James Boles is affiliated with Mayo Clinic Health System - Mankato and Mayo Clinic Health System St. James.

When was this NPI record last updated?

The NPPES record for James Boles was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.