MORGAN BOBO
NPI 1629600010
Psychologist - Clinical in Champlin, MN

Q: What is Morgan Bobo's NPI number?

The NPI number for Morgan Bobo is 1629600010. It was assigned to this individual provider in the NPPES registry on February 4, 2020.

Q: What is Morgan Bobo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Morgan Bobo was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 February 04, 2020PECOS Enrolled

11165 ZEALAND AVE N, CHAMPLIN, MN 55316(612) 584-0966 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 13, 2025, Apr 27, 2022, Feb 4, 2020 (3 updates tracked since 2020).

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About Morgan Bobo NPPES

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

MORGAN BOBO (NPI 1629600010) is an individual clinical provider in Champlin, Minnesota, licensed in Minnesota (LP6774) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1629600010

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMORGAN BOBO

Location Address11165 ZEALAND AVE NChamplin, MN 55316-3595

Mailing Address11165 Zealand Ave NChamplin, MN 55316-3595 · (763) 531-0566 · Fax (763) 531-0602

Phone(612) 584-0966

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateFebruary 4, 2020

Last NPPES UpdateFebruary 13, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2025

✔ NPI 1629600010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · LP6774

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

11165 ZEALAND AVE N, Champlin, MN 55316

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Morgan Bobo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183169550

PECOS Enrollment IDI20240710000158

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 Morgan Bobo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Therapy And Wellness PA

Same address

Mental Health (Including Community Mental Health Center)

11165 ZEALAND AVE N
Champlin, MN 55316

Reassigned Medicare billing, Minnesota enrollment
5 clinicians in this Medicare group

NPI 1265462212 (763) 531-0566

Innovative Psychological Consultants, LLC

Addiction (Substance Use Disorder)

7372 KIRKWOOD CT
Maple Grove, MN 55369

Reassigned Medicare billing, Minnesota enrollment
21 clinicians in this Medicare group

NPI 1942221080 (763) 416-4167

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 55316 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 5

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

DR. YASMINE MOIDEEN PHD, LP

Psychologist (Clinical)