NPIMap

Individual provider Active NPI

Jennifer Renaud Boyle, MD

  • Obstetrics & Gynecology Physician
  • Duluth, MN
National Provider Identifier
1073582375
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
43560 Issued in MN
Practice address
1000 E 1St St
Ste LL
Duluth, MN 55805-2297
Phone
(218) 722-5629
Fax
(218) 722-5148
NPI assigned
Mar 17, 2006
Last updated
Feb 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 43560 MN
Obstetrics & Gynecology Physician 207V00000X 43560 MN Primary

Addresses

Primary practice location

1000 E 1St St
Ste LL
Duluth, MN 55805-2297

Mailing address

1000 E 1St St
Ste LL
Duluth, MN 55805-2297
Phone (218) 722-5629

Other identifiers 2

IdentifierTypeStateIssuer
191633500MedicaidME
34705600MedicaidWI

Other names 1

  • Jennifer A Renaud Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040908000244 MN Practitioner - Obstetrics/Gynecology 8921074345 Reassigns benefits to 3 organizations
I20101102001088 WI Practitioner - Obstetrics/Gynecology 8921074345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Iowa, RJ & L Carver College of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices
St. Luke's Hospital of DuluthGroup PAC ID 7113834839, shared by 9 NPIs, 409 clinicians

Practice addresses (Care Compare)

1015 E 1St St
Duluth, MN 55805-2242
Phone (218) 249-7860

1615 Maple LN
Ashland, WI 54806-3610
Phone (715) 685-5500

211 W 4TH St
Duluth, MN 55806-2719
Phone (218) 879-1227

2201 Lake Shore Dr E
Ashland, WI 54806-2331
Phone (715) 685-6600

927 Trettel LN
Cloquet, MN 55720-1345
Phone (218) 879-1227

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fond Du Lac Reservation Business Committee CurrentSince Aug 5, 2012 Accepting new patients
St. Luke's Hospital of Duluth CurrentSince Oct 3, 2012 Accepting new patients
St. Luke's Hospital of Duluth CurrentSince Oct 3, 2012 Accepting new patients
Fond Du Lac Reservation Business Committee CurrentSince Aug 5, 2012 Accepting new patients
St. Luke's Hospital of Duluth CurrentSince Aug 28, 2025 Accepting new patients
Minnesota Indian Primary Residential Treatment Center, Inc. CurrentSince Jan 12, 2025 Accepting new patients
St. Luke's Hospital of Duluth Current Accepting new patients
St. Luke's Hospital of Duluth Current Accepting new patients
Fairview Clinics Past Accepting new patients
Minnesota Indian Primary Residential Treatment Center, Inc. PastSince May 14, 2023 Accepting new patients
Fairview Health Services Past Accepting new patients
St. Luke's Hospital of Duluth Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

927 Trettel Ln
Cloquet, MN 55720
Phone (218) 879-1227

1000 E 1st St
Ste 204
Duluth, MN 55805
Phone (218) 249-5203

1000 E 1st St
Ste Ll
Duluth, MN 55805
Phone (218) 249-4700

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563

415 Ellis Ave
Ashland, WI 54806
Phone (715) 685-6600

109 N 28th St E
Superior, WI 54880
Phone (715) 395-3900

Interoperability endpoints

  • Direct secure messaging: jboyle237368@direct.aspirus.org
  • Direct secure messaging: jennifer.boyle.p1@direct.fonddulachsd.nextgenshare.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1073582375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 1ST ST",
            "address_2": "STE LL",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052297",
            "telephone_number": "218-722-5629",
            "fax_number": "218-722-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 1ST ST",
            "address_2": "STE LL",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052297",
            "telephone_number": "218-722-5629",
            "fax_number": "218-722-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "JENNIFER",
        "middle_name": "RENAUD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "43560",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "43560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191633500",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34705600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "RENAUD",
            "middle_name": "A",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.