MR. ROBERT MATTHEW BOISSEAU AG-ACNP
NPI 1356996227
Nurse Practitioner - Acute Care in Mankato, MN
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Robert Boisseau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Washington, DC 20036
- Reassigned Medicare billing, Maryland enrollment
- 2,602 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MDPhysician 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.
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.
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.
Which organization bills Medicare for Robert Boisseau's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Boisseau reassigns Medicare benefits to Medstar Medical Group II LLC (Washington, DC). The 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 Robert Boisseau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 6 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.
# Mr. Robert Matthew Boisseau, AG-ACNP · NPI 1356996227
Acute Care physician in Mankato, Minnesota. Individual provider, active in the CMS NPPES registry since August 7, 2019.
## Identity
- **NPI:** 1356996227 (Entity type: Individual)
- **Enumerated:** August 7, 2019
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 6803 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1025 MARSH ST, Mankato, MN 56001-4752
- **Phone:** (507) 625-4031
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Medstar Medical Group II LLC (NPI 1376887844, Washington, DC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 5, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1356996227) · Data from the CMS NPPES public registry.