Mary S. Boscamp, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

578 Issued in MT

Practice address

1006 W Main St
Bozeman, MT 59715-3219

Phone

(406) 414-4800

NPI assigned

Jun 4, 2006

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mboscamp6973647@direct.sanfordhealth.org

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.

• Peak Health & Wellness, LLC

  • Urgent Care Clinic/Center
  • Belgrade, MT
  • NPI 1073669461
  Medicare reassignment
• Bozeman Health Deaconess Hospital

  • Family Medicine Physician
  • Bozeman, MT
  • NPI 1619347390
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1992743330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 W MAIN ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153219",
            "telephone_number": "406-414-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 W MAIN ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153219",
            "telephone_number": "406-414-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 W Main St",
            "address_purpose": "LOCATION",
            "city": "Belgrade",
            "state": "MT",
            "postal_code": "597143847",
            "country_code": "US",
            "telephone_number": "406-388-8708",
            "fax_number": "406-388-8710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSCAMP",
        "first_name": "MARY",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122731900",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mboscamp6973647@direct.sanfordhealth.org",
            "affiliation": "Y",
            "affiliationName": "Bozeman Health Urgent Care",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1006 W Main St",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597153219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jamie Erin Booth, DDS
• Heather L Borders, MD
• Kathryn Borgenicht, MD
• Kimberly A Borke, MD
• Dusti Lyn Borsheim, LCPC
• Abigail Bosoluke, PA-C
• Lisa Marie Bostick, MS ATC
• Kymberlee Ann Boston, OTD OTR/L
• Justin Bottsford-Miller, M.D.
• Mary Bough, PHARMD, RPH

• Medical Physician Assistant in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Medical Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.