Rebekah Jean Boer, NP-C
Individual provider Active NPI Family Nurse Practitioner · Fairmont, MN
NPI 1154631653 · NPPES record last updated Jul 22, 2013
Key facts
- NPI
- 1154631653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F0910500 (MN)
- Practice address
- 1950 Center Creek Dr
Fairmont, MN 56031-3428 - Phone
- (507) 238-4968
- NPI assigned
- Oct 18, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Key Corporation
Cornerstone Clinic, PSC
Practice addresses (Care Compare)
1394 Jackson St
Suite 201
Saint Paul, MN 55117-4630
Phone (612) 315-5866
410 Downtown PLZ
Fairmont, MN 56031-1714
Phone (641) 295-9855
Hospital & facility affiliations
- Mayo Clinic Health System - Fairmont
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110331000781 | MN | Practitioner - Nurse Practitioner | 0042493892 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0910500 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Clinic , PSC | Current |
Accepting new patients |
Locations
410 Downtown Plz
Fairmont, MN 56031
Phone (507) 399-2100
Interoperability endpoints
- cornerstoneclinic.rebekahboer@157537.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F0910500 | MN | Yes |
Addresses
Primary practice location
1950 Center Creek Dr
Fairmont, MN 56031-3428
Mailing address
1950 Center Creek Dr
Fairmont, MN 56031-3428
Phone (507) 238-4968
Other providers in Fairmont, MN
- Craig Bergh
- Perry Berhow
- Stephen Otto Berthelsen
- Jenna Mae Blanchard
- Brant Michael Boekelman
- Julie Borg
- Stephanie Lynn Bovy
- Annette Bremer
- Andrew K Brevik
- Damaris F Brown
All providers in Fairmont, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.