MADISON BOGART FNP-C
NPI 1487589305
Nurse Practitioner - Family in Rolla, MO

Q: What is Madison Bogart's NPI number?

The NPI number for Madison Bogart is 1487589305. It was assigned to this individual provider in the NPPES registry on June 13, 2026.

Q: What is Madison Bogart's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Madison Bogart was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since June 13, 2026PECOS EnrolledAccepts Medicare Assignment

603 S BISHOP AVE, ROLLA, MO 65401(573) 426-4411(573) 426-4403 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Madison Bogart Fnp-c NPPES

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

MADISON BOGART FNP-C (NPI 1487589305) is an individual family provider in Rolla, Missouri, licensed in Missouri (2026023503) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Waynesville, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1487589305

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMADISON BOGARTCredential: FNP-C

Location Address603 S BISHOP AVERolla, MO 65401-4320

Mailing Address1050 W 10th StRolla, MO 65401-2905 · (573) 364-9000 · Fax (573) 426-2108

Phone(573) 426-4411

Fax(573) 426-4403

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateJune 13, 2026

Last NPPES UpdateJuly 7, 2026

NPPES CertifiedJuly 7, 2026

✔ NPI 1487589305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2026023503

603 S BISHOP AVE, Rolla, MO 65401

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Secondary Practice Location 1

Location 11000 Gw LnWaynesville, MO 65583-2339 · Phone (573) 842-4116 · Fax (573) 433-2008

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Madison Bogart Fnp-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 ID5092270884

PECOS Enrollment IDI20260722002467

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.

Medicare Billing Reassignments

Medicare enrollment records show Madison Bogart reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Phelps County Regional Medical Center

1.1 mi

General Acute Care Hospital

1000 W 10TH ST
Rolla, MO 65401

Reassigned Medicare billing, Missouri enrollment
195 clinicians in this Medicare group

NPI 1891766051 (573) 458-8899

Pcrmc Medical Group, Inc

1.1 mi

Physical Medicine & Rehabilitation

1050 W 10TH ST
Rolla, MO 65401

Reassigned Medicare billing, Missouri enrollment
145 clinicians in this Medicare group

NPI 1508056540 (573) 458-3431

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65401 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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 9

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

MR. RAYMOND E. BRUNO FNP

Nurse Practitioner (Family)