Andrea Nicole Boehland, MD
Individual provider Active NPI Emergency Medicine Physician · Duluth, MN
NPI 1720203987 · NPPES record last updated Aug 5, 2025
Key facts
- NPI
- 1720203987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 53281 (MN)
- Practice address
- 407 East 3Rd Street
St. Mary'S Medical Cente
Duluth, MN 55805 - Phone
- (218) 786-4357
- NPI assigned
- Apr 14, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101015000406 | WI | Practitioner - Emergency Medicine | 2567655129 | Reassigns benefits to 2 organizations |
| I20110117000214 | MN | Practitioner - Emergency Medicine | 2567655129 | Reassigns benefits to 9 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105069 TEMP PERMIT | MN | MD | Emergency Medicine Physician |
| 53281 | MN | MD | Emergency Medicine Physician |
| 54928-20 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Pines Medical Center | Current |
Accepting new patients | |
| Essentia Health Moose Lake | Current |
Accepting new patients | |
| St. Mary'S Duluth Clinic Health System | Current | Accepting new patients | |
| Pine Medical Center | Current |
Accepting new patients | |
| St. Mary'S Medical Center | Current |
Accepting new patients | |
| St Marys Medical Center | Current |
Accepting new patients | |
| Deer River Healthcare Center, Inc. | Current |
Accepting new patients | |
| Essentia Health Moose Lake | Current |
Accepting new patients | |
| Pine Medical Center | Current |
Accepting new patients | |
| Northern Pines Medical Center | Current |
Accepting new patients | |
| Essentia Health Virginia, LLC | Current |
Accepting new patients | |
| St. Mary'S Hospital of Superior | Current |
Accepting new patients | |
| Deer River Healthcare Center, Inc. | Current |
Accepting new patients | |
| Essentia Health Virginia, LLC | Current |
Accepting new patients | |
| Moose Lake Community Hospital District | Current | Accepting new patients | |
| Northern Pines Medical Center | Current |
Accepting new patients | |
| St. Mary'S Hospital of Superior | Current |
Accepting new patients |
Locations
5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010
115 10th Ave NE
#A
Deer River, MN 56636
Phone (218) 246-8275
407 E 3rd St
Duluth, MN 55805
Phone (218) 786-4357
402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443
400 E 3rd St
#6
Duluth, MN 55805
Phone (320) 360-1676
4572 County Road 61
Moose Lake, MN 55767
Phone (218) 485-4481
705 Lundorff Dr
Sandstone, MN 55072
Phone (320) 245-2211
901 9th St N
Virginia, MN 55792
Phone (218) 741-3340
3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281
Interoperability endpoints
- aboehland1058324@direct.emplifyhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 54928-20 | WI | |
| Emergency Medicine Physician | 207P00000X | 105069 TEMP PERMIT | MN | |
| Emergency Medicine Physician | 207P00000X | 53281 | MN | Yes |
Addresses
Primary practice location
407 East 3Rd Street
St. Mary'S Medical Cente
Duluth, MN 55805
Mailing address
407 East 3Rd Street
St. Mary'S Medical Center
Duluth, MN 55805
Phone (218) 786-4357
Other practice location 1
1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300
Other providers in Duluth, MN
- Daniel Alejandro Bly Laguna
- Liv Petra Bly
- Kimberly Anne Boddicker
- Mariah Bodle
- Justin Lee Boe
- Barbara Ann Boehm
- Nicole Boehm
- Eric David Boehmer
- David Allen Bohil
- Molly Kaitlin Bohil
All providers in Duluth, MN · Emergency Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.