KELLY ANN BOIE PPCNP-BC
NPI 1063485514
Nurse Practitioner - Pediatrics in Minnetonka, MN
NPI Status: Active since February 07, 2006
Contact Information
14001 RIDGEDALE DR, STE 100
MINNETONKA, MN
ZIP 55305
Phone: (952) 473-0211
Fax: (952) 473-7908
- Individual
- Female
- Nurse Practitioner
- Pediatrics
About KELLY BOIE
This page provides the complete NPI Profile along with additional information for Kelly Boie, a provider established in Minnetonka, Minnesota with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1063485514 assigned on February 2006. The practitioner's primary taxonomy code is 363LP0200X with license number CNP0812 (MN). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1063485514
- Provider Name
- KELLY ANN BOIE PPCNP-BC
- Other Name
- KELLY ANN OVERBAUGH
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 14001 RIDGEDALE DR, STE 100 MINNETONKA, MN 55305
- Location Phone
- (952) 473-0211
- Location Fax
- (952) 473-7908
- Mailing Address
- 14001 RIDGEDALE DR, STE 100 MINNETONKA, MN 55305
- Mailing Phone
- (952) 473-0211
- Mailing Fax
- (952) 473-7908
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-07-2006
- Last Update Date
- 05-03-2016
- Code Navigator
A nurse practitioner (NP) like Kelly Boie is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Pediatrics
- Taxonomy Code
- 363LP0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- CNP0812
- License State
- MN
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163WP0200X | Nursing Service Providers | Registered Nurse | R1121373 (MN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 731306300 | MEDICAID (05) | MN | |
| 500001375 | MEDICARE PIN (08) | ||
| P15214 | MEDICARE UPIN (02) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 4 | 8 | 5 | 5 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 8 | 8 | 10 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 8 + 8 + 1 + 0 + 5 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1063485514 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063485514, enumerated in the NPI registry as an "individual" on February 07, 2006
The provider is located at 14001 Ridgedale Dr, Ste 100 Minnetonka, Mn 55305 and the phone number is (952) 473-0211
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0200X with a focus in Pediatrics
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.