MR. ROBERT MATTHEW BOISSEAU AG-ACNP
NPI 1356996227
Nurse Practitioner - Acute Care in Mankato, MN

Active since August 07, 2019PECOS EnrolledAccepts Medicare Assignment
1025 MARSH ST, MANKATO, MN 56001(507) 625-4031 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2020, Aug 7, 2019 (2 updates tracked since 2019).

About Mr. Robert Matthew Boisseau Ag-acnp NPPES

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

MR. ROBERT MATTHEW BOISSEAU AG-ACNP (NPI 1356996227) is an individual acute care provider in Mankato, Minnesota, licensed in Minnesota (6803) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with Medstar Good Samaritan Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1356996227
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. ROBERT MATTHEW BOISSEAUCredential: AG-ACNP
Location Address1025 MARSH STMankato, MN 56001-4752
Mailing Address1025 Marsh StMankato, MN 56001-4752
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 7, 2019
Last NPPES UpdateOctober 5, 20202 updates tracked since enumeration
NPPES CertifiedOctober 5, 2020
NPI 1356996227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MN · 6803
1025 MARSH ST, Mankato, MN 56001

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. Robert Matthew Boisseau Ag-acnp 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 ID1557699220
PECOS Enrollment IDI20240912004467
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.

Hospital Affiliations CMS Care Compare

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

Medstar Good Samaritan Hospital

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210056
Location5601 Loch Raven BoulevardBaltimore, MD 21239 · Baltimore City 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
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.

Nurse Practitioner
1025 MARSH ST
MANKATO, MN 56001
Anesthesiology
1025 MARSH ST
MANKATO, MN 56001
Nurse Practitioner (Family)
1025 MARSH ST
MANKATO, MN 56001
Neurological Surgery
1025 MARSH ST
MANKATO, MN 56001
Nurse Practitioner
1025 MARSH ST
MANKATO, MN 56001
Pharmacist
1025 MARSH ST
MANKATO, MN 56001
Nurse Anesthetist, Certified Registered
1025 MARSH ST
MANKATO, MN 56001
Internal Medicine (Interventional Cardiology)
1025 MARSH ST
MANKATO, MN 56001

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 Robert Boisseau's NPI number?

The NPI number for Robert Boisseau is 1356996227. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Where is Robert Boisseau located?

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

What is Robert Boisseau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Robert Boisseau enrolled in Medicare?

Yes. Robert Boisseau 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.

Is Robert Boisseau affiliated with any hospitals?

According to CMS data, Robert Boisseau is affiliated with Medstar Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Robert Boisseau was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.