Kelly Marie Bolf

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R1345942 Issued in MN

Practice address

400 E 3Rd St
Duluth, MN 55805-1951

Phone

(218) 786-8364

NPI assigned

Jun 24, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI, MN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St. Luke'S Hospital of Duluth 409 clinicians

The Duluth Clinic LTD 1,135 clinicians

Gillette Childrens Specialty Healthcare 99 clinicians

St Marys Medical Center 91 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Hospital Hospital, Duluth, MN, CCN 240047
• Essentia Health St Mary'S Medical Center Hospital, Duluth, MN, CCN 240002
• Essentia Health Duluth Hospital, Duluth, MN, CCN 240019
• Essentia Health Moose Lake Hospital, Moose Lake, MN, CCN 241350

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Gillette Children'S Specialty Healthcare

  • Multi-Specialty Clinic/Center
  • St. Paul, MN
  • NPI 1225119175

  MN

  Medicare reassignment Care Compare group NPD
• St Marys Medical Center

  • General Acute Care Hospital
  • Duluth, MN
  • NPI 1457393035

  MN

  Medicare reassignment Care Compare group NPD
• The Duluth Clinic LTD

  • Multi-Specialty Clinic/Center
  • Cloquet, MN
  • NPI 1902563638

  MN

  Medicare reassignment Care Compare group NPD
• The Duluth Clinic, LTD

  • Multi-Specialty Clinic/Center
  • Duluth, MN
  • NPI 1245278209

  WI

  Medicare reassignment Care Compare group NPD
• St. Luke'S Hospital of Duluth

  • Rehabilitation Hospital Unit
  • Duluth, MN
  • NPI 1902845068

  MN

  Medicare reassignment Care Compare group
• Deer River Healthcare Center, Inc.

  • Critical Access Hospital
  • Deer River, MN
  • NPI 1225049018

  MN

  Medicare reassignment NPD
• Essentia Health Virginia, LLC

  • General Acute Care Hospital
  • Virginia, MN
  • NPI 1083617120

  MN

  Medicare reassignment NPD
• The Duluth Clinic, LTD.

  • Community/Retail Pharmacy
  • Hinckley, MN
  • NPI 1245081066
  Care Compare group NPD
• Gillette Children'S Specialty Healthcare

  • Children's Hospital
  • Saint Paul, MN
  • NPI 1447352836
  Care Compare group
• Gillette Children'S Specialty Healthcare

  • Multi-Specialty Clinic/Center
  • Duluth, MN
  • NPI 1477612604
  Care Compare group
• Gillette Children'S Specialty Healthcare

  • Multi-Specialty Clinic/Center
  • Willmar, MN
  • NPI 1598068819
  Care Compare group
• Gillette Children'S Specialty Healthcare

  • Multi-Specialty Clinic/Center
  • Maple Grove, MN
  • NPI 1730363698
  Care Compare group

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

• Essentia Health Moose Lake

  • Critical Access Hospital
  • Moose Lake, MN
  • NPI 1154959880

  Hospital

  Care Compare affiliation
• Essentia Health Moose Lake

  • Critical Access Hospital Clinic/Center
  • Moose Lake, MN
  • NPI 1275102048

  Hospital

  Care Compare affiliation
• St Marys Medical Center

  • General Acute Care Hospital
  • Duluth, MN
  • NPI 1457393035

  Hospital

  Care Compare affiliation
• St. Luke'S Hospital of Duluth

  • Family Medicine Physician
  • Duluth, MN
  • NPI 1033161161

  Hospital

  Care Compare affiliation
• St. Luke'S Hospital of Duluth

  • Otolaryngology Physician
  • Duluth, MN
  • NPI 1033653209

  Hospital

  Care Compare affiliation
• St. Luke'S Hospital of Duluth

  • Endocrinology, Diabetes & Metabolism Physician
  • Duluth, MN
  • NPI 1093769796

  Hospital

  Care Compare affiliation
• St. Luke'S Hospital of Duluth

  • Obstetrics & Gynecology Physician
  • Duluth, MN
  • NPI 1124388723

  Hospital

  Care Compare affiliation
• St. Luke'S Hospital of Duluth

  • Vascular & Interventional Radiology Physician
  • Duluth, MN
  • NPI 1124732110

  Hospital

  Care Compare affiliation
• St. Luke'S Hospital of Duluth

  • Allergy & Immunology Physician
  • Duluth, MN
  • NPI 1194779884

  Hospital

  Care Compare affiliation
• St. Luke'S Hospital of Duluth

  • Neurological Surgery Physician
  • Duluth, MN
  • NPI 1285688986

  Hospital

  Care Compare affiliation
• St. Luke'S Hospital of Duluth

  • Dermatology Physician
  • Duluth, MN
  • NPI 1295787380

  Hospital

  Care Compare affiliation
• St. Luke'S Hospital of Duluth

  • Family Medicine Physician
  • Duluth, MN
  • NPI 1306870654

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1629004247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLF",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R1345942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "599190100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Kaitlin Bohil
• Eric Jack-Mun Bohjanen, O.D.
• Katie Jean Bohmann, APRN CNP
• Bolen Chiropractic, PA
• Troy Christopher Bolen, D.C.
• John Patrick Bollins
• Amber Bolstad, MT-BC
• Kenna Christine Bolton Holz, PHD
• Erin Bolton, LICSW
• Robert Paul Boman

• All providers in Duluth, MN
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.