Madison Rae Bosh

Primary specialty

OptometristTaxonomy code 152W00000X

License

808 Issued in ND

Practice address

354 23Rd Ave E
West Fargo, ND 58078-7820

Phone

(701) 566-5390

Fax

(605) 371-7199

NPI assigned

Jul 14, 2023

Last updated

May 21, 2024By 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

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

20-20 Vision Express LLCGroup PAC ID 8022269430, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.83 of 100Reported as group

Quality

93.82

Promoting interoperability

97

Improvement activities

40

Cost

71.43

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbosh@vtv.intellechartdirect.net

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.

• 20-20 Vision Express LLC

  • Clinic/Center
  • Fargo, ND
  • NPI 1922350636
  Medicare reassignment Care Compare group NPD
• Vance Thompson Vision ND Prof LLC

  • Ophthalmology Physician
  • West Fargo, ND
  • NPI 1558724492

  Optometrist

  NPD
• Convenient Care Clinic, PLLC

  dba Convenient Care Clinic

  • Family Nurse Practitioner
  • West Fargo, ND
  • NPI 1457017444
  NPD (past)

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1295414472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 23RD AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787820",
            "telephone_number": "701-566-5390",
            "fax_number": "605-371-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSH",
        "first_name": "MADISON",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashli Willow Boehm, FNP
• Hannah Boese
• Joel Bogenreif
• Allison Bolin
• Ronald J Borowicz, MD
• Zachary Mathew Bowe
• Olivia Boyd
• Rose I Brakke, AUD
• Brenda Leigh Bratton, PHD
• Teri J Brekke, MPT

• Optometrist in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.