Kelly Ann Boettcher

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

3002 Issued in MN

Practice address

1233 Madison Ave
Mankato, MN 56001-5229

Phone

(507) 388-8705

NPI assigned

May 28, 2026

Last updated

May 28, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1619808474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 MADISON AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015229",
            "telephone_number": "507-388-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 MADISON AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015229",
            "telephone_number": "507-388-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOETTCHER",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MN",
            "license": "3002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Julieann Ingberg Boertje, LMFT,RN
• Emily Elizabeth Boettcher
• Taylor Marie Boettcher
• Robert Matthew Boisseau, AG-ACNP
• Trudy Boleen
• Amy L Boles, MD
• James A Boles, MD

• Hearing Instrument Specialist in Mankato, MN
• Providers in Mankato, MN by specialty
• Hearing Instrument Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.