Individual provider Active NPI

Linda Anne Bosse, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • McMinnville, OR
National Provider Identifier
1770092496
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP10739 Issued in AZ
Practice address
117 NW 8TH St
McMinnville, OR 97128-5560
Phone
(503) 379-0208
Fax
(503) 662-6068
NPI assigned
Sep 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP10739 AZ Primary

Addresses

Primary practice location

117 NW 8TH St
McMinnville, OR 97128-5560

Mailing address

4155 N Val Verde Way
Prescott Valley, AZ 86314-5462
Phone (602) 697-8207

Other practice location 1

3345 N Windsong Dr
Prescott Valley, AZ 86314-2283
Phone (928) 445-5211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20171127002508 AZ Practitioner - Nurse Practitioner 5193082352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest NetworkGroup PAC ID 2567560659, 26 clinicians

Practice addresses (Care Compare)

2311 W Royal Palm Rd
Phoenix, AZ 85021-4916
Phone (602) 269-5300

Merit-based Incentive Payment System (MIPS)

Final score
97.32 of 100Reported as group
Quality
85.03
Promoting interoperability
99
Improvement activities
40
Cost
90.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10739AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Nature Psychiatry, P.C. Psychiatric/Mental Health CurrentSince Feb 24, 2022 Accepting new patients
Southwest Network Current Accepting new patients
Southwest Network CurrentSince Sep 23, 2024 Accepting new patients
Southwest Network, Inc. CurrentSince Sep 23, 2024 Accepting new patients

Locations

3140 N Arizona Ave
Ste 113
Chandler, AZ 85225
Phone (480) 497-4040

1465 W Chandler Blvd
Bldg A
Chandler, AZ 85224
Phone (480) 786-8200

9051 W Kelton Ln
Ste 13
Peoria, AZ 85382
Phone (623) 815-5700

2311 W Royal Palm Rd
Phoenix, AZ 85021
Phone (602) 269-5300

2444 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (602) 304-0014

1840 N 95th Ave
Ste 132
Phoenix, AZ 85037
Phone (623) 932-6950

2700 N Central Ave
Ste 1050
Phoenix, AZ 85004
Phone (602) 266-8402

3227 E Bell Rd
Ste 170
Phoenix, AZ 85032
Phone (480) 719-7383

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1770092496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 N VAL VERDE WAY",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863145462",
            "telephone_number": "602-697-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 NW 8TH ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971285560",
            "telephone_number": "503-379-0208",
            "fax_number": "503-662-6068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3345 N Windsong Dr",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863142283",
            "country_code": "US",
            "telephone_number": "928-445-5211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSSE",
        "first_name": "LINDA",
        "middle_name": "ANNE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP10739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

Verify at the official NPI Registry.