SAMUEL YAW BOADU DNP
NPI 1063517100
Nurse Practitioner in Saint Paul, MN

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
409 NORTH DUNLAP STREET, OPEN CITIES HEALTH CENTER, SAINT PAUL, MN 55104(651) 290-9200(651) 290-9210 Get Directions Write a Review

NPPES record last updated: January 8, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samuel Yaw Boadu Dnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL YAW BOADU DNP (NPI 1063517100) is an individual nurse practitioner in Saint Paul, Minnesota, licensed in Minnesota (R 153044-3) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1063517100
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameSAMUEL YAW BOADUCredential: DNP
Location Address409 NORTH DUNLAP STREET, OPEN CITIES HEALTH CENTERSaint Paul, MN 55104-4201
Mailing Address409 North Dunlap Street, Open Cities Health CenterSaint Paul, MN 55104-4201 · (651) 290-9200 · Fax (651) 290-9210
Fax(651) 290-9210
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJanuary 8, 2013
NPI 1063517100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MN · R 153044-3
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

409 NORTH DUNLAP STREET, Saint Paul, MN 55104

Other Identifiers 1

Medicare UPIN500003510MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samuel Yaw Boadu Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941207609
PECOS Enrollment IDI20061023000424
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
409 NORTH DUNLAP STREET, OPEN CITIES HEALTH CENTER
SAINT PAUL, MN 55104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Boadu's NPI number?

The NPI number for Samuel Boadu is 1063517100. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Samuel Boadu located?

Samuel Boadu practices at 409 North Dunlap Street Open Cities Health Center, Saint Paul, MN 55104. The listed phone number is (651) 290-9200.

What is Samuel Boadu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Samuel Boadu enrolled in Medicare?

Yes. Samuel Boadu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samuel Boadu was last updated on January 8, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.