Madison Bogart, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Rolla, MO
NPI 1487589305 · NPPES record last updated Jul 7, 2026
Key facts
- NPI
- 1487589305
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2026023503 (MO)
- Practice address
- 603 S Bishop Ave
Rolla, MO 65401-4320 - Phone
- (573) 426-4411
- Fax
- (573) 426-4403
- NPI assigned
- Jun 13, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1050 W 10TH St
Rolla, MO 65401-2905
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2026023503 | MO | Yes |
Addresses
Primary practice location
603 S Bishop Ave
Rolla, MO 65401-4320
Mailing address
1050 W 10TH St
Rolla, MO 65401-2905
Phone (573) 364-9000
Other practice location 1
1000 Gw Ln
Waynesville, MO 65583-2339
Phone (573) 842-4116
Other providers in Rolla, MO
- Elizabeth Bland
- Michelle Lynn Bland
- Matthew James Blanton
- Betty J Blome
- Brooke Boente
- Annie Elizabeth Boggs
- Cathy Bond
- Donna K Bond
- Joseph C Bond Jr.
- Leah Kathleen Bond
All providers in Rolla, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2026. 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.