MS. MARY S. BOSCAMP PA-C
NPI 1992743330
Physician Assistant - Medical in Bozeman, MT

Q: What is Mary Boscamp's NPI number?

The NPI number for Mary Boscamp is 1992743330. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Q: What is Mary Boscamp's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Mary Boscamp was last updated on July 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 04, 2006PECOS Enrolled

1006 W MAIN ST, BOZEMAN, MT 59715(406) 414-4800 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2021, Jan 2, 2020 (2 updates tracked since 2020).

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About Ms. Mary S. Boscamp Pa-c NPPES

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

MS. MARY S. BOSCAMP PA-C (NPI 1992743330) is an individual medical provider in Bozeman, Montana, licensed in Montana (578) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Belgrade.

NPPES Registry Identity

NPI1992743330

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. MARY S. BOSCAMPCredential: PA-C

Location Address1006 W MAIN STBozeman, MT 59715-3219

Mailing Address1006 W Main StBozeman, MT 59715-3219 · (406) 414-4800

Phone(406) 414-4800

Sole ProprietorNo

Enumeration DateJune 4, 2006

Last NPPES UpdateJuly 23, 20212 updates tracked since enumeration

NPPES CertifiedJuly 23, 2021

✔ NPI 1992743330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MT · 578

1006 W MAIN ST, Bozeman, MT 59715

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Secondary Practice Location 1

Location 1403 W Main StBelgrade, MT 59714-3847 · Phone (406) 388-8708 · Fax (406) 388-8710

Other Identifiers 1

Medicaid122731900WY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Ms. Mary S. Boscamp 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.

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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. JOHN MICHAEL WISE MD

Specialist