Individual provider Active NPI

Andrea Nicole Boehland, MD

  • Emergency Medicine Physician
  • Duluth, MN
National Provider Identifier
1720203987
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
53281 Issued in MN
Practice address
407 East 3Rd Street
St. Mary's Medical Cente
Duluth, MN 55805
Phone
(218) 786-4357
NPI assigned
Apr 14, 2007
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 54928-20 WI
Emergency Medicine Physician 207P00000X 105069 TEMP PERMIT MN
Emergency Medicine Physician 207P00000X 53281 MN Primary

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

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

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

State licenses

LicenseStateTypeSpecialty
105069 TEMP PERMITMNMDEmergency Medicine Physician
53281MNMDEmergency Medicine Physician
54928-20WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Essentia Health Virginia, LLC CurrentSince May 1, 2014 Accepting new patients
St. Mary's Hospital of Superior CurrentSince Sep 13, 2010 Accepting new patients
Essentia Health Moose Lake CurrentSince Apr 2, 2022 Accepting new patients
St. Mary's Duluth Clinic Health System Current Accepting new patients
Deer River Healthcare Center, Inc. CurrentSince Jun 3, 2013 Accepting new patients
Deer River Healthcare Center, Inc. CurrentSince Jun 3, 2013 Accepting new patients
Essentia Health Moose Lake CurrentSince Apr 2, 2022 Accepting new patients
Northern Pines Medical Center CurrentSince Jan 8, 2013 Accepting new patients
Pine Medical Center CurrentSince Sep 13, 2010 Accepting new patients
Essentia Health Virginia, LLC CurrentSince May 1, 2014 Accepting new patients
St Marys Medical Center CurrentSince Sep 13, 2010 Accepting new patients
St. Mary's Hospital of Superior CurrentSince Sep 13, 2010 Accepting new patients
Northern Pines Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Pine Medical Center CurrentSince Sep 13, 2010 Accepting new patients
St. Mary's Medical Center CurrentSince Sep 13, 2010 Accepting new patients
Northern Pines Medical Center CurrentSince Jan 8, 2013 Accepting new patients
Moose Lake Community Hospital District 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

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

400 E 3rd St
#6
Duluth, MN 55805
Phone (320) 360-1676

402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443

407 E 3rd St
Duluth, MN 55805
Phone (218) 786-4357

420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265

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

  • Direct secure messaging: aboehland1058324@direct.emplifyhealth.org

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1720203987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 EAST 3RD STREET",
            "address_2": "ST. MARY'S MEDICAL CENTER",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55805",
            "telephone_number": "218-786-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 EAST 3RD STREET",
            "address_2": "ST. MARY'S MEDICAL CENTE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55805",
            "telephone_number": "218-786-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1836 South Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546015429",
            "country_code": "US",
            "telephone_number": "608-782-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOEHLAND",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "54928-20",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "105069 TEMP PERMIT",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "53281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.