Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Tracey Bovkoon

Pharmacist β€’ Perham, MN

Active NPI 1932508611 Individual Practitioner Female Practitioner
Practice location in NPPES

1000 Coney St W
Perham, MN 565732102

Call 2183471570 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1000 Coney St W

Perham, MN 565732102

Telephone 2183471570
Organization at the Same NPPES Address or Phone
Sanford Clinic North Facility NPI 1982637385

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Perham and Minnesota

9 active clinicians are listed under Pharmacist with a practice address in Perham, MN (4,917 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-07-03
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES MN 122196

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

License # reported to NPPES ND RPH5696

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

30 listed
Dr. Melinda Anderson , DNP, FNP-C

Nurse Practitioner - Family

NPI 1972918472

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Judy Bellanger-Dahl , PA-C

Physician Assistant

NPI 1265470447

Physician Assistant (Certified)

Dr. Rayna Bergseth , DNP, NP-C

Nurse Practitioner - Family

NPI 1962854646

Doctor of Nursing Practice, Nurse Practitioner (Certified)

NPI 1821295106

Doctor of Chiropractic

NPI 1124645064

Doctor of Medicine (M.D.)

Dr. Ronald Burd , MD

Psychiatry & Neurology - Psychiatry

NPI 1750308755

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 03, 2021

Registered at 1000 CONEY ST W, PERHAM, MN 565732102 (Tel: 2183471570)

πŸ“
Updated Business Mailing Address July 03, 2021

Registered at 1000 CONEY ST W, PERHAM, MN 565732102 (Tel: 2183471570)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2021

Pharmacist (license number reported to NPPES: MN 122196)

βœ…
NPI Profile Active August 18, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 18, 2014

Registered at 310 1ST AVE S, JAMESTOWN, ND 584014154 (Tel: 7012511432)

πŸ“
Business Mailing Address (Initial Record) August 18, 2014

Registered at 310 1ST AVE S, JAMESTOWN, ND 584014154 (Tel: 7012511432)

πŸ‘€
Provider Name / Credentials (Initial Record) August 18, 2014

Recorded as TRACEY BOVKOON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2014

Pharmacist (license number reported to NPPES: ND RPH5696)

🟒
Initial NPI Registration & Enumeration August 18, 2014

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1932508611
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2014
Last Update: July 03, 2021
Sole Proprietor: No

Mailing Address

1000 Coney St W

Perham, MN 565732102

Phone: 2183471570

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.