Bobbi Jo M Boomsma, RN BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

154430-30 Issued in WI

Practice address

304 E Main St
Lena, WI 54139-9488

Phone

(920) 829-5244

Fax

(920) 829-5122

NPI assigned

Aug 19, 2026

Last updated

Aug 19, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Lena Public School District

  • Local Education Agency (LEA)
  • Lena, WI
  • NPI 1396924916
  NPD (past)

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1114832433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8043 SUNSHINE RD",
            "city": "LENA",
            "state": "WI",
            "postal_code": "541399722",
            "telephone_number": "920-829-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E MAIN ST",
            "city": "LENA",
            "state": "WI",
            "postal_code": "541399488",
            "telephone_number": "920-829-5244",
            "fax_number": "920-829-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOMSMA",
        "first_name": "BOBBI JO",
        "middle_name": "M",
        "credential": "RN BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "154430-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaias R Cupino Jr., MD
• Brenda Lee Fonder, RN
• Julie Maree Graef
• Jessica Jade Marie Haag, ATC, LAT
• Lena Public School District

• Registered Nurse in Lena, WI
• Providers in Lena, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.