BRYN BOSWELL
NPI 1417470352
Dentist in Park Falls, WI

Active since July 23, 2017Opted out of Medicare · through Nov 19, 2027
370 3RD AVE S, PARK FALLS, WI 54552(715) 762-2188 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Jul 23, 2017 (2 updates tracked since 2017).

About Bryn Boswell NPPES

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

BRYN BOSWELL (NPI 1417470352) is an individual dentist in Park Falls, Wisconsin, licensed in Wisconsin (1001637) and active in the NPI registry since July 2017. He has opted out of Medicare through November 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417470352
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameBRYN BOSWELL
Location Address370 3RD AVE SPark Falls, WI 54552-1228
Mailing AddressPo Box 10Phillips, WI 54555-0010 · (715) 339-3021
Sole ProprietorYes
Enumeration DateJuly 23, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1417470352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in WI · 1001637
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
370 3RD AVE S, Park Falls, WI 54552

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Bryn Boswell has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 19, 2019 through November 19, 2027.

Opt-Out Effective DateNovember 19, 2019
Opt-Out In Effect ThroughNovember 19, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54552 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
370 3RD AVE S
PARK FALLS, WI 54552

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 Bryn Boswell's NPI number?

The NPI number for Bryn Boswell is 1417470352. It was assigned to this individual provider in the NPPES registry on July 23, 2017.

Where is Bryn Boswell located?

Bryn Boswell practices at 370 3rd Ave S, Park Falls, WI 54552. The listed phone number is (715) 762-2188.

What is Bryn Boswell's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Bryn Boswell enrolled in Medicare?

No. Bryn Boswell has opted out of Medicare through November 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Bryn Boswell accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Bryn Boswell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bryn Boswell was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.