Raquel Lyn Bosacker, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L0574073 Issued in MN

Practice address

106 North 4TH Ave
Fergus Falls, MN 56537-1034

Phone

(218) 998-3778

Fax

(218) 998-3187

NPI assigned

May 4, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Raquel Lyn Nelson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CK Home Health

  • Assisted Living Facility
  • Fergus Falls, MN
  • NPI 1447553284
  NPD (past)
• CK Home Health Care Inc.

  • Home Health Agency
  • Fergus Falls, MN
  • NPI 1568685683
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003028648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 ELM ST",
            "city": "TRACY",
            "state": "MN",
            "postal_code": "561751532",
            "telephone_number": "507-629-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 NORTH 4TH AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371034",
            "telephone_number": "218-998-3778",
            "fax_number": "218-998-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSACKER",
        "first_name": "RAQUEL",
        "middle_name": "LYN",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L0574073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAQUEL",
            "last_name": "NELSON",
            "middle_name": "LYN",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Boese
• Rebecca Rae Boesl, DNP
• Matthew Davis Borowski, ATC
• Wesley A Borowski, MD
• Ann Louise Borstad, RN
• Shari Jo Bouchie, L.P.N.
• Marie Braaten, NP
• Nancy Alice Brandl
• Erin Ann Brewington, RN
• Bridget Leonard Counseling and Consulting, LLC

• All providers in Fergus Falls, MN
• Licensed Practical Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.