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ANNETTE MARIE BOTHUN PA-C
NPI 1528583846
Physician Assistant in Grand Forks, ND

Active since August 08, 2017PECOS EnrolledAccepts Medicare Assignment
72.03/100
CMS Quality Rating
1451 44TH AVE S STE E, GRAND FORKS, ND 58201(701) 787-5800(701) 787-5802 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 2, 2026, Aug 14, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Annette Marie Bothun Pa-c NPPES

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

ANNETTE MARIE BOTHUN PA-C (NPI 1528583846) is an individual physician assistant in Grand Forks, North Dakota, licensed in North Dakota (PAC0723) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Altru Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528583846
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANNETTE MARIE BOTHUNCredential: PA-C
Location Address1451 44TH AVE S STE EGrand Forks, ND 58201-3434
Mailing Address1451 44th Ave S Ste EGrand Forks, ND 58201-3434 · (701) 787-5800 · Fax (701) 787-5802
Phone(701) 787-5800
Fax(701) 787-5802
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 8, 2017
Last NPPES UpdateJune 2, 20264 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1528583846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in ND · PAC0723✔ Licensed in MN · 12482
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1451 44TH AVE S STE E, Grand Forks, ND 58201
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Secondary Practice Locations 2

Location 1412 Main Ave NEWarroad, MN 56763-2342 · Phone (218) 386-2020
Location 2711 Delmore DrRoseau, MN 56751-1534 · Phone (218) 463-1365

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.Insurance ›

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

Annette Marie Bothun Pa-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 ID2567737109
PECOS Enrollment IDI20180822000528
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
873 services184 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
98 services49 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
84 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
68 services44 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
54 services41 patients
Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. 99424
Principal Care Management (PCM) services are health care services focused on managing a single high-risk disease. A qualified health professional will personally provide these services for the first 30 minutes each month. This could include monitoring your condition, coordinating your care, and making necessary adjustments to your treatment plan.
50 services38 patients

Hospital Affiliations CMS Care Compare

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

Altru Hospital

Acute Care Hospitals · Grand Forks, ND
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number350019
Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.51
Promoting Interoperability100
Improvement Activities40
Cost10

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.90 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers28 claims28 services$6.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$91.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

ANIL POTTI MD
Internal Medicine (Hematology & Oncology)
1451 44TH AVE S STE E
GRAND FORKS, ND 58201
Grand Forks County (701) 787-5800
KAYLINA KELLEY PA-C
Physician Assistant
1451 44TH AVE S STE E
GRAND FORKS, ND 58201
Grand Forks County (701) 787-5800

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 Annette Bothun's NPI number?

The NPI number for Annette Bothun is 1528583846. It was assigned to this individual provider in the NPPES registry on August 8, 2017.

Where is Annette Bothun located?

Annette Bothun practices at 1451 44th Ave S Ste E, Grand Forks, ND 58201. The listed phone number is (701) 787-5800.

What is Annette Bothun's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Annette Bothun enrolled in Medicare?

Yes. Annette Bothun 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.

What insurance does Annette Bothun accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Annette Bothun 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.

Is Annette Bothun affiliated with any hospitals?

According to CMS data, Annette Bothun is affiliated with Altru Hospital.

When was this NPI record last updated?

The NPPES record for Annette Bothun was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.