Jessica Ann Boll, CNP in Sioux Falls, SD - Medicare Nurse Practitioner

Jessica Ann Boll, CNP is a medicare enrolled "Nurse Practitioner" in Sioux Falls, South Dakota. Her current practice location is 4500 W 69th St, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 977-7000.

Jessica Ann Boll is licensed to practice in South Dakota (license number CP001963) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699350496.

Contact Information

	Jessica Ann Boll, CNP
	4500 W 69th St, Sioux Falls, SD 57108-8148
	(605) 977-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica Ann Boll
Gender	Female
Speciality	Nurse Practitioner
Location	4500 W 69th St, Sioux Falls, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699350496
Provider Enumeration Date: 03/12/2021
Last Update Date: 03/12/2021

Medicare PECOS Information:

PECOS PAC ID: 2961810783
Enrollment ID: I20210415003012

Medical Identifiers

Medical identifiers for Jessica Ann Boll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699350496	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	CP001963 (South Dakota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Ann Boll allows following entities to bill medicare on her behalf.

Entity Name	Heart Hospital Of South Dakota Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023003969 PECOS PAC ID: 5799777249 Enrollment ID: O20040402000412

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Ann Boll is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jessica Ann Boll, CNP 5720 W Coughran Ct, Sioux Falls, SD 57106-0444 Ph: (605) 351-6070	Jessica Ann Boll, CNP 4500 W 69th St, Sioux Falls, SD 57108-8148 Ph: (605) 977-7000

Reviews and Comments

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Jessica Ann Boll, CNP - Medicare Nurse Practitioner in Sioux Falls, SD