MR. ROBERT MATTHEW BOISSEAU (AG-ACNP) – Acute Care Nurse Practitioner, NPI 1356996227

MR. ROBERT MATTHEW BOISSEAU (AG-ACNP) is a healthcare provider. based in Mankato, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials AG-ACNP. They hold a License No. 6803 (MN). The NPI Number for MR. ROBERT MATTHEW BOISSEAU (AG-ACNP) is 1356996227

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. ROBERT MATTHEW BOISSEAU (AG-ACNP)
NPI
1356996227
Phone
Not provided
Address
1025 MARSH ST
Enumeration Date
7 August 2019
Last Update Date
5 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4107686440
Graduation Year
2019 (7 years ago)
PAC ID
1557699220
Group Practice PAC ID
0547413825
Professional Enrollment ID
I20240912004467
Address ID
MD210614086GL1406X106X500

Contacts

Secure Messaging
rboisseau643659@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for MR. ROBERT MATTHEW BOISSEAU (AG-ACNP)

  • Mayo Clinic Health System, 1025, Marsh Street, High Ciara, Mankato, Blue Earth County, Minnesota, 56001, United States

    MANKATO, MN 560014752

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240912004467INurse PractitionerMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 56001)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547413825View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MD
-MD
-MD
-MD
Internal MedicineMD
Critical Care (Intensivists), Sleep Medicine, Pulmonary DiseaseMD
-MD
Diagnostic Radiology, Interventional RadiologyPA
Geriatric Medicine, Internal MedicineMD
Orthopedic SurgeryMD

Reviews

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Frequently asked questions

Can I use this page to confirm MR. ROBERT MATTHEW BOISSEAU (AG-ACNP)'s NPI?
Yes. MR. ROBERT MATTHEW BOISSEAU (AG-ACNP) is listed with NPI 1356996227 in the public NPI dataset.
Is MR. ROBERT MATTHEW BOISSEAU (AG-ACNP) still practicing?
MR. ROBERT MATTHEW BOISSEAU (AG-ACNP) is currently listed as active in the public NPI registry.
What is MR. ROBERT MATTHEW BOISSEAU (AG-ACNP) best known for clinically?
Directory data describes MR. ROBERT MATTHEW BOISSEAU (AG-ACNP) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MR. ROBERT MATTHEW BOISSEAU (AG-ACNP)?
MR. ROBERT MATTHEW BOISSEAU (AG-ACNP)'s geographic hint is Mankato, Minnesota in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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