MICHELLE L BOMGARDNER PA-C
NPI 1235892258
Physician Assistant in Grand Forks, ND

Q: What is Michelle Bomgardner's NPI number?

The NPI number for Michelle Bomgardner is 1235892258. It was assigned to this individual provider in the NPPES registry on October 17, 2021.

Q: What is Michelle Bomgardner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since October 17, 2021PECOS EnrolledAccepts Medicare Assignment

3035 DEMERS AVE, GRAND FORKS, ND 58201(701) 746-7521 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Jul 24, 2023, May 25, 2023 and 1 more (4 updates tracked since 2021).

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About Michelle L Bomgardner Pa-c NPPES

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

MICHELLE L BOMGARDNER PA-C (NPI 1235892258) is an individual physician assistant in Grand Forks, North Dakota, licensed in North Dakota (PAC1152) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1235892258

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMICHELLE L BOMGARDNERCredential: PA-C

Location Address3035 DEMERS AVEGrand Forks, ND 58201-4040

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9419

Phone(701) 746-7521

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 17, 2021

Last NPPES UpdateSeptember 2, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2025

✔ NPI 1235892258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ND · PAC1152

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

3035 DEMERS AVE, Grand Forks, ND 58201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle L Bomgardner Pa-c 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 ID6507242757

PECOS Enrollment IDI20250912003915

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

NATHAN J FISCHER DPM

Student in an Organized Health Care Education/Training Program