AMY L BOLES (MD) – Family Medicine Physician, NPI 1760473722
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,075 FAMILY PRACTICE in MN
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Provider Addresses for AMY L BOLES (MD)
Mankato Post Office, East Main Street, Mankato, Blue Earth County, Minnesota, 56001, United States
1230 E MAIN STREET MANKATO CLINIC LTD
MANKATO, MN 56001
Phone: (507) 625-1811
Type: Mailing
1421, Premier Drive, Mankato, Blue Earth County, Minnesota, 56001, United States
MANKATO CLINIC AT WICKERSHAM CAMPUS
MANKATO, MN 56001
Phone: (507) 625-1811
Type: Location
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: 2006-07-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060706000159 | I | Family Practice | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 242 | 167 | $0 |
| 85610 | Blood test, clotting time | 240 | 30 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 156 | 99 | $0 |
| 99316 | Nursing facility discharge management, more than 30 minutes | 50 | 47 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 43 | 30 | $0 |
Insurance plans in this area (ZIP 56001)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MN | 83036 | Hemoglobin A1C level | 75 | 43 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| Diagnostic Radiology | CO | |
| Physician Assistant | MN | |
| P O D I A T R Y | MN | |
| - | MN | |
| - | MN | |
| General Surgery | MN | |
| Diagnostic Radiology, Internal Medicine | MN |
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