NEISSA RHEA BOEHM RN, CNP
NPI 1588897490
Nurse Practitioner - Adult Health in Virginia, MN

NPI Status: Active since August 26, 2009

Contact Information

1101 9TH ST N
DULUTH CLINIC VIRGINIA
VIRGINIA, MN
ZIP 55792
Phone: (218) 741-0150

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Areas of Expertise
Physician Visit Costs
Hospital Affiliations - Privileges
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Years of Experience 17
Nurse Practitioner
Adult Health
Accepts Insurance
Accepts Medicare Approved Payment
PECOS Enrolled

About NEISSA BOEHM

This page provides the complete NPI Profile along with additional information for Neissa Boehm, a provider established in Virginia, Minnesota with a medical specialization in Nurse Practitioner, focusing in adult health and more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1588897490 assigned on August 2009. The practitioner's primary taxonomy code is 363LA2200X with license number R 153603-6 (MN). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI: 1588897490
Provider Name: NEISSA RHEA BOEHM RN, CNP
Gender: Female
Entity Type: Individual
Location Address: 1101 9TH ST N DULUTH CLINIC VIRGINIA VIRGINIA, MN 55792
Location Phone: (218) 741-0150
Mailing Address: 1101 9TH ST N DULUTH CLINIC VIRGINIA VIRGINIA, MN 55792
Mailing Phone: (218) 741-0150
Medical School Name: OTHER
Graduation Year: 2009
Is Sole Proprietor?: No
Enumeration Date: 08-26-2009
Last Update Date: 05-20-2016
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A nurse practitioner (NP) like Neissa Boehm is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Nurse Practitioner Adult Health
Taxonomy Code: 363LA2200X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: R 153603-6
License State: MN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Anthem Blue Cross and Blue Shield

Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
Anthem Silver Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

HealthPartners

Atlas $1,000 Gold - PPO
Atlas $1,500 Standard Gold - PPO
Atlas $2,650 Plus Silver - PPO
Atlas $3,500 HSA Silver - PPO
Atlas $5,000 Standard Silver - PPO
Atlas $6,500 Plus Bronze - PPO
Atlas $7,500 Standard Bronze - PPO
Atlas $8,200 HSA Bronze - PPO
Atlas $9,200 Catastrophic - PPO

Medica

Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
Essentia Choice Care with Medica Bronze HSA - EPO
Essentia Choice Care with Medica Bronze Share - EPO
Essentia Choice Care with Medica Bronze Share - HMO
Essentia Choice Care with Medica Expanded Bronze Standard - EPO
Essentia Choice Care with Medica Expanded Bronze Standard - HMO
Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
Essentia Choice Care with Medica Gold Share - EPO
Essentia Choice Care with Medica Gold Share - HMO
Essentia Choice Care with Medica Gold Standard - EPO
Essentia Choice Care with Medica Gold Standard - HMO
Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
Essentia Choice Care with Medica Silver $0 Copay PCP Visits - HMO
Essentia Choice Care with Medica Silver Share - EPO
Essentia Choice Care with Medica Silver Share - HMO
Essentia Choice Care with Medica Silver Standard - EPO
Essentia Choice Care with Medica Silver Standard - HMO
Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
Medica Individual Choice Bronze HSA - EPO

Sanford Health Plan

Sanford Individual Simplicity $1,750 - PPO
Sanford Individual Simplicity $3,500 - PPO
Sanford Individual Simplicity $4,750 - PPO
Sanford Individual Simplicity $6,000 - PPO
Sanford Individual Simplicity $7,100 HSA Qualified - PPO
Sanford Individual Simplicity $9,200 - PPO
Sanford Individual Simplicity Standardized $1,500 - PPO
Sanford Individual Simplicity Standardized $5,000 - PPO
Sanford Individual Simplicity Standardized $7,500 - PPO

Security Health Plan

Premier $1,500 - 25% - HMO
Premier $3,500 - 30% - HMO
Premier $4,100 HDHP - HMO
Premier $5,000 - 40% - HMO
Premier $6,200 HDHP - HMO
Premier $7,500 - HMO
Premier $9,200 - HMO
Premier Protection - HMO
Select $1,500 - 25% - EPO
Select $3,500 - 30% - EPO
Select $4,100 HDHP - EPO
Select $5,000 - 40% - EPO
Select $6,200 HDHP - EPO
Select $7,500 - EPO
Select $9,200 - EPO
Select Protection - EPO
Premier HMO $1,500 - 30% - HMO
Premier HMO $2,500 - 20% Copay - HMO
Premier HMO $3,300 - 30% HDHP - HMO
Premier HMO $3,500 - 30% - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Neissa Boehm is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Neissa Boehm is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
PECOS PAC ID: 9032257829
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20091116000553
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes

Physician Visit Costs

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.45 for a new patient copayment and $24.65 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 55792 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $85.82
Minimum New Patient Price $56
Maximum New Patient Price $168.28

Average New Patient Copayment $21.45
Minimum New Patient Copayment $14
Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $98.61
Minimum Established Patient Price $18.32
Maximum Established Patient Price $138.04

Average Established Patient Copayment $24.65
Minimum Established Patient Copayment $4.58
Maximum Established Patient Copayment $34.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Neissa Boehm is affiliated with the following medical facilities:

Hospital Name	Address	Phone	Hospital Type
ESSENTIA HEALTH ST MARY'S MEDICAL CENTER	402 EAST SECOND STREET DULUTH, MN 55805	(218) 786-3574	Acute Care Hospitals
ESSENTIA HEALTH VIRGINIA	901 9TH STREET NORTH VIRGINIA, MN 55792	(218) 741-3340	Acute Care Hospitals
ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER	5211 HIGHWAY 110 AURORA, MN 55705	(218) 229-4222	Critical Access Hospitals

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	8	8	8	9	7	4	9	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	16	8	16	9	14	4	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 6 + 9 + 1 + 4 + 4 + 1 + 8 + 24 = 80
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1588897490 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DR. NILES NILES BATDORF MD

Family Medicine

1101 9TH ST N
VIRGINIA, MN
ZIP 55792

About NEISSA BOEHM

Location Map

Specialty - Primary Taxonomy

Nurse Practitioner Adult Health

Insurance Plans Accepted

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

PECOS PAC ID: 9032257829

PECOS Enrollment ID: I20091116000553

Accepts Medicare Assignment? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

Established patient office or other outpatient visit, 30-39 minutes

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Find Provider Hospital Affiliations - Privileges

Reviews for NEISSA RHEA BOEHM RN, CNP

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions