Bobbi Jo Vandendriessche

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

CNP4205 Issued in MN

Practice address

1521 Carlson St
Marshall, MN 56258-2626

Phone

(507) 532-1101

Fax

(507) 532-1137

NPI assigned

Oct 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rural Health Care IncGroup PAC ID 3476447541, 156 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bobbi.vandendriessche@avera.sdhealthlink.net

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.

• Rural Health Care, Inc

  dba Access Health Worthington

  • Federally Qualified Health Center (FQHC)
  • Worthington, MN
  • NPI 1215317375

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Avera Marshall

  dba Avera Marshall Regional Medical Center

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  Medicare reassignment NPD
• Avera Marshall

  dba Avera Medical Group Carlson

  • Multi-Specialty Clinic/Center
  • Marshall, MN
  • NPI 1407330301
  NPD
• Avera Marshall

  dba Avera Medical Group Optometry - Marshall

  • Optometrist
  • Marshall, MN
  • NPI 1487422465
  NPD
• Rural Health Care, Inc

  dba Access Health - Windom

  • Federally Qualified Health Center (FQHC)
  • Windom, MN
  • NPI 1174141485
  NPD
• Rural Health Care, Inc

  dba Access Health Marshall

  • Federally Qualified Health Center (FQHC)
  • Marshall, MN
  • NPI 1740944602
  NPD
• Avera Marshall

  dba Avera Marshall Specialty Clinic

  • Multi-Specialty Clinic/Center
  • Marshall, MN
  • NPI 1962641936
  NPD (past)
• Rural Health Care, Inc.

  dba Access Health - Murdo

  • Federally Qualified Health Center (FQHC)
  • Murdo, SD
  • NPI 1720076441
  NPD (past)

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

• Avera Marshall

  dba Avera Marshall Regional Medical Center

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  Care Compare affiliation

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1962872994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 CARLSON ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582626",
            "telephone_number": "507-532-1101",
            "fax_number": "507-532-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 CARLSON ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582626",
            "telephone_number": "507-532-1101",
            "fax_number": "507-532-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENDRIESSCHE",
        "first_name": "BOBBI JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "CNP4205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa L Tvete, AU.D.
• Sabrina Maria Ulrich, LICSW
• United Community Action Partnership
• Darci Van Dyke, PHD, LP
• Monica Ramona Van Watermeulen Fales
• Ramy Vandendriessche, DPT
• Wendy A Vanderkooi, CRNA
• Lucky Vang, D.O.
• Renae Vangelderen, PHN
• Megan Christine Vangsness, RN, BSN, PHN

• Nurse Practitioner in Marshall, MN
• Providers in Marshall, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.