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MR. BLAINE ROBERT BOVERHUIS MSW, LICSW
NPI 1275210338
Social Worker - Clinical in Edina, MN

Active since June 30, 2023PECOS EnrolledAccepts Medicare Assignment
6401 FRANCE AVE S, EDINA, MN 55435(952) 924-2888(952) 924-2880 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Blaine Robert Boverhuis Msw, Licsw NPPES

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

MR. BLAINE ROBERT BOVERHUIS MSW, LICSW (NPI 1275210338) is an individual clinical provider in Edina, Minnesota, licensed in Minnesota (19085) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1275210338
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. BLAINE ROBERT BOVERHUISCredential: MSW, LICSW
Location Address6401 FRANCE AVE SEdina, MN 55435-2104
Mailing Address2509 27th Ave NMinneapolis, MN 55411-1001 · (651) 403-3585
Phone(952) 924-2888
Fax(952) 924-2880
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 30, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1275210338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 19085
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6401 FRANCE AVE S, Edina, MN 55435
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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

Mr. Blaine Robert Boverhuis Msw, Licsw 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 ID5991167363
PECOS Enrollment IDI20230816003745
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 55435 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
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

JAMES RAYMOND BISHOP MD
Emergency Medicine
6401 FRANCE AVE S
EDINA, MN 55435
Hennepin County (952) 924-5108
TIMOTHY JORDAN MILLER
Physical Therapist
6401 FRANCE AVE S, REHAB SERVICES LL3G, FAIRVIEW SOUTHDALE HOSPITAL
EDINA, MN 55435
Hennepin County (952) 924-1313
ASHLEY M WOLFGRAM CNP
Nurse Practitioner (Acute Care)
6401 FRANCE AVE S
EDINA, MN 55435
Hennepin County (952) 924-5000
JUDITH A VENASKY CRNA
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435
Hennepin County (952) 924-5000
DAVID WILLIAM KROLL CRNA
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435
Hennepin County (925) 924-5000
DR. COURTNEY ERIN MCELROY M.D., M.P.H.
Hospitalist
6401 FRANCE AVE S
EDINA, MN 55435
Hennepin County (952) 924-5000
KATHERINE VALIANT MSN, APRN, CCRN
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435
Hennepin County (952) 924-5000
DIANNE VAN RAVENSWAAY CRNA
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435
Hennepin County (952) 924-5000

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 Blaine Boverhuis's NPI number?

The NPI number for Blaine Boverhuis is 1275210338. It was assigned to this individual provider in the NPPES registry on June 30, 2023.

Where is Blaine Boverhuis located?

Blaine Boverhuis practices at 6401 France Ave S, Edina, MN 55435. The listed phone number is (952) 924-2888.

What is Blaine Boverhuis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Blaine Boverhuis enrolled in Medicare?

Yes. Blaine Boverhuis 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.

When was this NPI record last updated?

The NPPES record for Blaine Boverhuis was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.