BOBBI JO VANDENDRIESSCHE
NPI 1962872994
Nurse Practitioner in Marshall, MN

Active since October 02, 2015PECOS EnrolledAccepts Medicare Assignment
1521 CARLSON ST, MARSHALL, MN 56258(507) 532-1101(507) 532-1137 Get Directions Write a Review

NPPES record last updated: November 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bobbi Jo Vandendriessche NPPES

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

BOBBI JO VANDENDRIESSCHE (NPI 1962872994) is an individual nurse practitioner in Marshall, Minnesota, licensed in Minnesota (CNP4205) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Avera Marshall Regional Medical Ctr, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1962872994
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBOBBI JO VANDENDRIESSCHE
Location Address1521 CARLSON STMarshall, MN 56258-2626
Mailing Address1521 Carlson StMarshall, MN 56258-2626 · (507) 532-1101 · Fax (507) 532-1137
Fax(507) 532-1137
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 2, 2015
Last NPPES UpdateNovember 2, 2015
NPI 1962872994 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 MN · CNP4205
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.
1521 CARLSON ST, Marshall, MN 56258

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 and accepts Medicare assignment

Bobbi Jo Vandendriessche 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.

PECOS PAC ID7810297165
PECOS Enrollment IDI20151118002263
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Avera Marshall Regional Medical Ctr

Critical Access Hospitals · Marshall, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number241359
Location300 South Bruce StreetMarshall, MN 56258 · Lyon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56258 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
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 15

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

Physician Assistant
1521 CARLSON ST
MARSHALL, MN 56258
Social Worker (Clinical)
1521 CARLSON ST
MARSHALL, MN 56258
Family Medicine
1521 CARLSON ST
MARSHALL, MN 56258
Clinic/Center (Multi-Specialty)
1521 CARLSON ST
MARSHALL, MN 56258
Family Medicine
1521 CARLSON ST, STE. 100
MARSHALL, MN 56258
Nurse Anesthetist, Certified Registered
1521 CARLSON ST
MARSHALL, MN 56258
Nurse Practitioner (Pediatrics)
1521 CARLSON ST
MARSHALL, MN 56258
Physician Assistant
1521 CARLSON ST
MARSHALL, MN 56258

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 Bobbi Jo Vandendriessche's NPI number?

The NPI number for Bobbi Jo Vandendriessche is 1962872994. It was assigned to this individual provider in the NPPES registry on October 2, 2015.

Where is Bobbi Jo Vandendriessche located?

Bobbi Jo Vandendriessche practices at 1521 Carlson St, Marshall, MN 56258. The listed phone number is (507) 532-1101.

What is Bobbi Jo Vandendriessche's specialty?

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

Is Bobbi Jo Vandendriessche enrolled in Medicare?

Yes. Bobbi Jo Vandendriessche 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.

What insurance does Bobbi Jo Vandendriessche accept?

Health plans from Avera Health Plans and Medica list Bobbi Jo Vandendriessche 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.

Is Bobbi Jo Vandendriessche affiliated with any hospitals?

According to CMS data, Bobbi Jo Vandendriessche is affiliated with Avera Marshall Regional Medical Ctr.

When was this NPI record last updated?

The NPPES record for Bobbi Jo Vandendriessche was last updated on November 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.