Michael Dale Bobier, PA
Individual provider Active NPI Physician Assistant · Dakota Dunes, SD
NPI 1528047834 · NPPES record last updated Apr 19, 2024
Key facts
- NPI
- 1528047834
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 001212 (IA)
- Practice address
- 330 Dakota Dunes Blvd Ste 150
Dakota Dunes, SD 57049-5475 - Phone
- (712) 294-7390
- Fax
- (712) 294-7220
- NPI assigned
- Jan 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of North Dakota School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iowa Physicians Clinic Medical Foundation
Practice addresses (Care Compare)
307 E Main St
Anthon, IA 51004-7705
Phone (712) 373-5711
330 Dakota Dunes Blvd
Suite 150
Dakota Dunes, SD 57049-5475
Phone (712) 294-7390
350 Gold Cir
Dakota Dunes, SD 57049-5509
Phone (605) 540-3000
Hospital & facility affiliations
- St Lukes Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.8 of 100
- Quality
- 82.54
- Promoting interoperability
- 89.05
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA, SD
- 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 |
|---|---|---|---|---|
| I20040402001474 | IA | Practitioner - Physician Assistant | 1759374150 | Reassigns benefits to 1 organization |
| I20230404002236 | SD | Practitioner - Physician Assistant | 1759374150 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01212 | IA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Current |
Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Physician Assistant | Current |
Accepting new patients |
Locations
307 E Main St
Anthon, IA 51004
Phone (712) 373-5711
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581
1120 Highway 20
Correctionville, IA 51016
Phone (712) 372-4145
3520 Singing Hills Blvd
Sioux City, IA 51106
Phone (712) 274-4351
801 5th St
Sioux City, IA 51101
Phone (712) 279-2010
350 Gold Cir
Dakota Dunes, SD 57049
Phone (605) 540-3000
711 N Sioux Point Rd
Ste 100
Dakota Dunes, SD 57049
Phone (712) 222-7970
330 Dakota Dunes Blvd
Ste 150
Dakota Dunes, SD 57049
Phone (712) 294-7390
Interoperability endpoints
- michael.bobier.p20@direct.trinity-healthiowa.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001212 | IA | Yes |
Addresses
Primary practice location
330 Dakota Dunes Blvd Ste 150
Dakota Dunes, SD 57049-5475
Mailing address
801 5TH St
Sioux City, IA 51101-1326
Phone (712) 294-7390
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michael.bobier.p20@direct.trinity-healthiowa.nextgenshare.com |
NPI Registry JSON
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1528047834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 5TH ST",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511011326",
"telephone_number": "712-294-7390",
"fax_number": "712-294-7220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 DAKOTA DUNES BLVD STE 150",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495475",
"telephone_number": "712-294-7390",
"fax_number": "712-294-7220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOBIER",
"first_name": "MICHAEL",
"middle_name": "DALE",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "001212",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michael.bobier.p20@direct.trinity-healthiowa.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "MercyOne West Iowa Direct Email Address",
"address_1": "330 Dakota Dunes Blvd Ste 150",
"city": "Dakota Dunes",
"state": "SD",
"country_code": "US",
"postal_code": "570495475",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dakota Dunes, SD
- Beth Bruening PC
- Benjamin T. Bissell
- William R Blankenship
- Sarah Bligh
- Davis Bloemendaal
- Erica Bonstead
- Erin Bonstead
- Andrew Elliott Bourne
- Jessica Lee Bowman
- Craig Allan Brandenburger
All providers in Dakota Dunes, SD · Physician Assistant in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2024. 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.