MEDICARE: JACOB BOGGESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	NUR-RN-LIC-198937	MT

General Provider Information

NPI Number	:	1013868314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOB BOGGESS

Provider Business Mailing Address
First Line	:	610 N 7TH ST
Second Line	:
City	:	LIVINGSTON
State	:	MT
Zip	:	59047-1800
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	610 N 7TH ST
Second Line	:
City	:	LIVINGSTON
State	:	MT
Zip	:	59047-1800
Country	:	US
Telephone Number	:	903-312-7810
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

Similar Medicare Providers

1598616443 — CARRIE PROFFITT CRT
Practice Location Address:

104 W COURT SQ
LIVINGSTON, TN
38570-1800

Practice Phone: 865-437-8855
Practice Fax:

1689525545 — DEANA BOOHER
Practice Location Address:

104 W COURT SQ
LIVINGSTON, TN
38570-1800

Practice Phone: 731-487-0134
Practice Fax:

1750355343 — DR. LAURA M GUSHUE D.M.D.
Practice Location Address:

1800 LIVINGSTON AVE , LORAIN COUNTY HEALTH AND DENTISTRY
LORAIN, OH
44052

Practice Phone: 440-233-0100
Practice Fax: 440-242-2400

1336113570 — SONJA ANN JARMOSZUK D.D.S.
Practice Location Address:

1800 LIVINGSTON AVE
LORAIN, OH
44052-3781

Practice Phone: 440-233-0100
Practice Fax: 440-233-0109

1871513762 — ROBYN J MIKLOVICH CNP
Practice Location Address:

1800 LIVINGSTON AVE
LORAIN, OH
44052-3781

Practice Phone: 440-240-1655
Practice Fax: 440-245-1218

1902998057 — MS. PATRICIA L CAREY PT
Practice Location Address:

1800 LIVINGSTON AVE
LORAIN, OH
44052-3781

Practice Phone: 440-960-4000
Practice Fax: 440-233-1056

Directions to “ JACOB BOGGESS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.