DOREEN M BOOMSMA C.N.P.-MS
NPI 1780689380
Nurse Practitioner in Huron, SD

Active since June 20, 2005PECOS Enrolled
100/100
CMS Quality Rating
455 KANSAS AVE SE, HURON, SD 57350(605) 352-8767(605) 352-8784 Get Directions Write a Review

NPPES record last updated: November 3, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Doreen M Boomsma C.n.p.-ms NPPES

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

DOREEN M BOOMSMA C.N.P.-MS (NPI 1780689380) is an individual nurse practitioner in Huron, South Dakota, licensed in South Dakota (249) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780689380
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDOREEN M BOOMSMACredential: C.N.P.-MS
Location Address455 KANSAS AVE SEHuron, SD 57350-2522
Mailing AddressPo Box 1411Huron, SD 57350-1411 · (605) 352-8767 · Fax (605) 352-8784
Fax(605) 352-8784
Sole ProprietorNo
Enumeration DateJune 20, 2005
Last NPPES UpdateNovember 3, 2009
NPI 1780689380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in SD · 249
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
455 KANSAS AVE SE, Huron, SD 57350

Other Identifiers 6

Other0006283SD · Wellmark
Medicare UPINS85573SD
Medicaid6826750SD
Medicare ID-Type UnspecifiedS6283SD · Medicare Provider Number
Other500007017SD · Railroad Medicare
Other9237904SD · Dakotacare

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Doreen M Boomsma C.n.p.-ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57350 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

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.

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

Referred Medical Equipment & Supplies CMS DME claims 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers65 claims104 services$6.17 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers24 claims31 services$1.14 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers32 claims32 services$45.04 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers15 claims15 services$111.43 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers21 claims43 services$40.52 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
1 supplier13 claims13 services$70.83 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 7

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

Internal Medicine
455 KANSAS AVE SE
HURON, SD 57350
Nurse Practitioner
455 KANSAS AVE SE
HURON, SD 57350
Internal Medicine
455 KANSAS AVE SE
HURON, SD 57350
Nurse Practitioner (Family)
455 KANSAS AVE SE
HURON, SD 57350
Internal Medicine
455 KANSAS AVE SE
HURON, SD 57350
Surgery
455 KANSAS AVE SE
HURON, SD 57350
Internal Medicine
455 KANSAS AVE SE
HURON, SD 57350

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 Doreen Boomsma's NPI number?

The NPI number for Doreen Boomsma is 1780689380. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Doreen Boomsma located?

Doreen Boomsma practices at 455 Kansas Ave SE, Huron, SD 57350. The listed phone number is (605) 352-8767.

What is Doreen Boomsma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Doreen Boomsma enrolled in Medicare?

Yes. Doreen Boomsma is registered in the Medicare PECOS enrollment system.

What insurance does Doreen Boomsma accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Doreen Boomsma 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 Doreen Boomsma was last updated on November 3, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.