Individual provider Active NPI

Jolynn A. Bugbee, M.D.

  • Internal Medicine Physician
  • Sioux City, IA
National Provider Identifier
1801858774
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34271 Issued in IA
Practice address
2720 Stone Park Blvd Ste 335
Sioux City, IA 51104-3734
Phone
(605) 937-5537
NPI assigned
Apr 5, 2006
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34271 IA Primary
Internal Medicine Physician 207R00000X 3845 SD

Addresses

Primary practice location

2720 Stone Park Blvd Ste 335
Sioux City, IA 51104-3734

Mailing address

2720 Stone Park Blvd Ste 335
Sioux City, IA 51104-3734
Phone (605) 937-5537

Other identifiers 5

IdentifierTypeStateIssuer
42128384924MedicaidNE
18432OtherIAWELLMARK BCBS IA
38362OtherIAWELLMARK BCBS IA HAWARDEN
6000305MedicaidSD
6000303MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041110000536 SD Practitioner - Internal Medicine 3678562246 Reassigns benefits to 2 organizations
I20041110000584 IA Practitioner - Internal Medicine 3678562246 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34271IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St Marys CurrentSince Jul 1, 2022 Accepting new patients
Avera St Marys Current Accepting new patients
Avera St Marys CurrentSince Jul 1, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 1, 2022 Accepting new patients
Siouxland Hospitalists PLLC Internal Medicine CurrentSince Aug 31, 2022 Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients
University Physician Internal Medicine Past Accepting new patients

Locations

2720 Stone Park Blvd
Ste 335
Sioux City, IA 51104
Phone (712) 220-6634

319 Coteau St
Pierre, SD 57501
Phone (605) 220-1093

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1801858774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 STONE PARK BLVD STE 335",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043734",
            "telephone_number": "605-937-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 STONE PARK BLVD STE 335",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043734",
            "telephone_number": "605-937-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGBEE",
        "first_name": "JOLYNN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "34271",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "3845",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42128384924",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS IA",
            "identifier": "18432",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS IA HAWARDEN",
            "identifier": "38362",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000305",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000303",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.