JACKIE LYNN BOSSHART OTR/L
NPI 1801041447
Occupational Therapist in Blaine, MN
About Jackie Lynn Bosshart Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKIE LYNN BOSSHART OTR/L (NPI 1801041447) is an individual occupational therapist in Blaine, Minnesota, licensed in Minnesota (103609) and active in the NPI registry since November 2008. She maintains a secondary practice location in Sartell and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Jackie Lynn Bosshart Otr/l 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jackie Bosshart reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Blaine, MN 55449
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 124 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 197 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
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.
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 Jackie Bosshart's NPI number?
The NPI number for Jackie Bosshart is 1801041447. It was assigned to this individual provider in the NPPES registry on November 24, 2008.
Where is Jackie Bosshart located?
Jackie Bosshart practices at 10230 Baltimore St NE Ste 300, Blaine, MN 55449. The listed phone number is (651) 968-5201.
What is Jackie Bosshart's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Jackie Bosshart enrolled in Medicare?
Yes. Jackie Bosshart 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.
Which organizations bill Medicare for Jackie Bosshart's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Bosshart reassigns Medicare benefits to 3 organizations: Fairview Express Care (Blaine, MN), Healtheast Outpatient Services, LLC (Saint Paul, MN) and Summit Orthopedics, Ltd. (Saint Paul, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackie Bosshart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jackie Bosshart was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.