Judy Ann Deboer, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12673 Issued in MN

Practice address

14020 Hwy 13 S Ste 350
Savage, MN 55378-7103

Phone

(952) 395-2500

NPI assigned

Aug 3, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary ENT, L.L.C.Group PAC ID 1658754015, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.78 of 100Reported as group

Quality

92.1

Improvement activities

40

Cost

80.43

Merit-based Incentive Payment System (MIPS)

Final score

94.95 of 100Reported as group

Quality

92.04

Promoting interoperability

100

Improvement activities

40

Cost

85.99

Medicare enrollment (NPD)

Enrolled

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.

• Primary ENT, L.L.C.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Savage, MN
  • NPI 1386374593
  Medicare reassignment Care Compare group NPD
• Providence Health & Services - Washington

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Hoquiam, WA
  • NPI 1043374119
  NPD (past)

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1649558974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 NE 83RD ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14020 HWY 13 S STE 350",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553787103",
            "telephone_number": "952-395-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 NE Halsey St.",
            "address_2": "Bldg 2, 3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97213",
            "country_code": "US",
            "telephone_number": "888-227-3312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1560 Beam Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551091171",
            "country_code": "US",
            "telephone_number": "952-395-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1057 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560016143",
            "country_code": "US",
            "telephone_number": "952-395-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10995 Club West Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554495862",
            "country_code": "US",
            "telephone_number": "952-395-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7300 France Ave S Ste 100",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554354541",
            "country_code": "US",
            "telephone_number": "952-395-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 5th Ave Ste 900",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981043176",
            "country_code": "US",
            "telephone_number": "888-227-3312",
            "fax_number": "888-227-3314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBOER",
        "first_name": "JUDY",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60569994",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-174311",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "170192",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201910857NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "12673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Corby
• Crescent Haus LLC
• John W Crosby, RPH
• Jamie Dahlberg
• Barton Grant Davis, DDS
• Dental Delivery Systems, PA
• Dentists of Savage, PC
• Designing Dreams by Loramy Inc
• Alberta Winnifred Desouza Addo
• Diamond Care Limited Liability Company

• Family Nurse Practitioner in Savage, MN
• Providers in Savage, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.