Individual provider Active NPI

Dawn Marie Bozicevich, NP

  • Adult Health Nurse Practitioner
  • Oakdale, MN
National Provider Identifier
1659386266
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5017 Issued in MN
Practice address
1099 Helmo Ave N Ste 220
Oakdale, MN 55128-6034
Phone
(952) 929-5600
NPI assigned
Jul 30, 2006
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 5017 MN
Primary Care Nurse Practitioner 363LP2300X CNP5017 MN
Adult Health Nurse Practitioner 363LA2200X 5017 MN Primary

Addresses

Primary practice location

1099 Helmo Ave N Ste 220
Oakdale, MN 55128-6034

Mailing address

3500 American Blvd W Ste 300
Bloomington, MN 55431-4442
Phone (952) 512-5600

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170420000177 MN Practitioner - Nurse Practitioner 5698051092 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infinite Health Collaborative, PAGroup PAC ID 1052225042, 815 clinicians
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

1099 Helmo Ave N
Suite 220
Oakdale, MN 55128-6034
Phone (952) 929-5600

701 Dellwood St S
Cambridge, MN 55008-1920
Phone (621) 775-6200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5017MNMDGerontology Nurse Practitioner
CNP5017MNMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Infinite Health Collaborative, PA CurrentSince Sep 1, 2025 Accepting new patients
Allina Health System Current Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince Mar 18, 2017 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Oct 1, 2024 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Sep 1, 2025 Accepting new patients
Fairview Clinics CurrentSince Mar 18, 2017 Accepting new patients
Fairview Health Services CurrentSince Mar 18, 2017 Accepting new patients
St. Croix Orthopaedics, PA Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

4100 Minnesota Dr
Ste 310
Edina, MN 55435
Phone (952) 838-0650

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

3500 American Blvd W
Ste 300
Minneapolis, MN 55431
Phone (952) 512-5600

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

800 E 28th St
Ste H2100
Minneapolis, MN 55407
Phone (612) 863-3900

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

1099 Helmo Ave N
Ste 220
Oakdale, MN 55128
Phone (651) 361-8100

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

Organizations & group practices 12

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 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1659386266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 AMERICAN BLVD W STE 300",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554314442",
            "telephone_number": "952-512-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 HELMO AVE N STE 220",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286034",
            "telephone_number": "952-929-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZICEVICH",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "5017",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "CNP5017",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "5017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, MN

Sources for this page

Verify at the official NPI Registry.