Active NPI
Bobbi D Adams, M.D.
- Family Medicine Physician
- Wadena, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 41353
- Practice address
- 4 Deerwood Ave NW
Wadena, MN 56482-1253 - Phone
- (218) 631-1360
- Fax
- (218) 631-7571
- NPI assigned
- Aug 23, 2006
- Last updated
- Oct 31, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 41353 | MN | Primary |
Addresses
Primary practice location
4 Deerwood Ave NW
Wadena, MN 56482-1253
Mailing address
4 Deerwood Ave NW
Wadena, MN 56482-1253
Phone (218) 631-1360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 073771200 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Astera Health
Practice addresses (Care Compare)
415 Jefferson N St
Wadena, MN 56482-1264
415 Jefferson St N
Wadena, MN 56482-1264
Phone (218) 631-7495
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Astera Health | Current | Accepting new patients | |
| Astera Health | Current | Accepting new patients | |
| Astera Health | Current | Accepting new patients |
Locations
4 Deerwood Ave NW
Wadena, MN 56482
Phone (218) 631-1100
415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510
421 11th St NW
Wadena, MN 56482
Phone (218) 631-3510
Interoperability endpoints
- badams13085@direct.centracare.com
Ownership & related parties
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Astera Health | Hospital | Corporate Director | Jan 1, 2014 |
| Astera Health Sebeka Clinic | Rural health clinic | Corporate Director | Jan 1, 2014 |
| Astera Health Henning Clinic | Rural health clinic | Corporate Director | Jan 1, 2014 |
| Astera Health Ottertail Clinic | Rural health clinic | Corporate Director | Jan 1, 2014 |
| Astera Health Verndale Clinic | Rural health clinic | Corporate Director | Sep 1, 2009 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Astera Health Henning Clinic
- Rural Health Clinic/Center
- Henning, MN
- NPI 1194711986
Corporate Director
-
dba Astera Health Verndale Clinic
- Rural Health Clinic/Center
- Verndale, MN
- NPI 1407262405
Corporate Director
-
dba Tri- County Health Care
- Critical Access Hospital
- Wadena, MN
- NPI 1477545333
Corporate Director
-
dba Astera Health Sebeka Clinic
- Rural Health Clinic/Center
- Sebeka, MN
- NPI 1831185636
Corporate Director
-
dba Astera Health Ottertail Clinic
- Rural Health Clinic/Center
- Ottertail, MN
- NPI 1871546663
Corporate Director
Organizations & group practices 3
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.
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Astera Health Ottertail Clinic
- Rural Health Clinic/Center
- Ottertail, MN
- NPI 1871546663
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1629185251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 DEERWOOD AVE NW",
"city": "WADENA",
"state": "MN",
"postal_code": "564821253",
"telephone_number": "218-631-1360",
"fax_number": "218-631-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 DEERWOOD AVE NW",
"city": "WADENA",
"state": "MN",
"postal_code": "564821253",
"telephone_number": "218-631-1360",
"fax_number": "218-631-7571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "BOBBI",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "41353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "073771200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wadena, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.