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CHANDRA ARLENE BOUMA MD
NPI 1831885581
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 14, 2023PECOS Enrolled
701 PARK AVE, MINNEAPOLIS, MN 55415(612) 870-3000 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chandra Arlene Bouma Md NPPES

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

CHANDRA ARLENE BOUMA MD (NPI 1831885581) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831885581
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCHANDRA ARLENE BOUMACredential: MD
Location Address701 PARK AVEMinneapolis, MN 55415-1623
Mailing Address701 Park AveMinneapolis, MN 55415-1623
Phone(612) 870-3000
Sole ProprietorYes
Enumeration DateApril 14, 2023
NPPES CertifiedApril 14, 2023
✔ NPI 1831885581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
701 PARK AVE, Minneapolis, MN 55415
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chandra Arlene Bouma Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Chandra Bouma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psj Acquisition LLC
214 mi
Psychiatric Hospital
510 4TH ST S
Fargo, ND 58103
  • Reassigned Medicare billing, North Dakota enrollment
  • 65 clinicians in this Medicare group
NPI 1679709802 (701) 476-7200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DR. MICHAEL CHARLES HARLOW MD
Psychiatry & Neurology (Psychiatry)
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
DANIEL HART
Emergency Medicine
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
GEORGE NOESEN
Dentist (Oral and Maxillofacial Surgery)
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
MRS. CARMODY ALICE SIME LPCC, LADC
Counselor (Professional)
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 432-2008
MR. JUSTIN GREGORY SCHULZ MD
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
EVAN SMITH
Emergency Medicine
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
ALEXA M LYON MD
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
SUMEDHA REDDY BANDI DO
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000

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 Chandra Bouma's NPI number?

The NPI number for Chandra Bouma is 1831885581. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Where is Chandra Bouma located?

Chandra Bouma practices at 701 Park Ave, Minneapolis, MN 55415. The listed phone number is (612) 870-3000.

What is Chandra Bouma's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Chandra Bouma enrolled in Medicare?

Yes. Chandra Bouma is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chandra Bouma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chandra Bouma reassigns Medicare benefits to Psj Acquisition LLC (Fargo, ND). The 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 Chandra Bouma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chandra Bouma accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Chandra Bouma 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 Chandra Bouma was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.