WALLACE DWAYNE BOEVE PA-C
NPI 1992724371
Physician Assistant in Stillwater, MN

Active since July 18, 2006PECOS Enrolled
1500 CURVE CREST BLVD W, STILLWATER, MN 55082(651) 439-1234 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wallace Dwayne Boeve Pa-c NPPES

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

WALLACE DWAYNE BOEVE PA-C (NPI 1992724371) is an individual physician assistant in Stillwater, Minnesota, licensed in Minnesota (11157) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1992724371
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameWALLACE DWAYNE BOEVECredential: PA-C
Location Address1500 CURVE CREST BLVD WStillwater, MN 55082
Mailing Address8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516 · (651) 439-1234
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateNovember 15, 2018
NPI 1992724371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 11157
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1500 CURVE CREST BLVD W, Stillwater, MN 55082

Secondary Practice Location 1

Location 1640 Jackson St, MS11302CSaint Paul, MN 55101-2502 · Phone (651) 254-4786 · Fax (651) 254-9426

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Wallace Dwayne Boeve Pa-c 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 55082 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
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 20

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

Nurse Practitioner (Family)
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Family Medicine
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Internal Medicine
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Internal Medicine
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Family Medicine
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Family Medicine
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Pediatrics
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Surgery
1500 CURVE CREST BLVD W
STILLWATER, MN 55082

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 Wallace Boeve's NPI number?

The NPI number for Wallace Boeve is 1992724371. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Wallace Boeve located?

Wallace Boeve practices at 1500 Curve Crest Blvd W, Stillwater, MN 55082. The listed phone number is (651) 439-1234.

What is Wallace Boeve's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Wallace Boeve enrolled in Medicare?

Yes. Wallace Boeve is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wallace Boeve was last updated on November 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.