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AUDRA BOLDUAN LPCC
NPI 1194512574
Counselor - Professional in Rochester, MN

Active since April 21, 2025PECOS Enrolled
2519 COMMERCE DR NW, ROCHESTER, MN 55901(507) 446-0431(507) 446-8014 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Audra Bolduan Lpcc NPPES

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

AUDRA BOLDUAN LPCC (NPI 1194512574) is an individual professional provider in Rochester, Minnesota and active in the NPI registry since April 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194512574
Entity TypeIndividual
Primary Taxonomy101YP2500X
Provider Legal NameAUDRA BOLDUANCredential: LPCC
Location Address2519 COMMERCE DR NWRochester, MN 55901-4432
Mailing Address2575 Harvest LnOwatonna, MN 55060-4305 · (507) 446-0431 · Fax (507) 446-8014
Phone(507) 446-0431
Fax(507) 446-8014
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1194512574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2519 COMMERCE DR NW, Rochester, MN 55901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audra Bolduan Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648796169
PECOS Enrollment IDI20250428004054
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.

Medicare Billing Reassignment

Medicare enrollment records show Audra Bolduan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fernbrook Family Center, Inc
37 mi
Social Worker
2575 HARVEST LN
Owatonna, MN 55060
  • Reassigned Medicare billing, Minnesota enrollment
  • 79 clinicians in this Medicare group
NPI 1659483915 (507) 446-0431

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

CARLEY MCHENRY LPCC
Counselor (Professional)
2519 COMMERCE DR NW
ROCHESTER, MN 55901
Olmsted County (507) 446-0431
AVITAL OGNIEWICZ
Psychologist
2519 COMMERCE DR NW
ROCHESTER, MN 55901
Olmsted County (507) 446-0431
DAVID SCALES LPCC
Counselor (Professional)
2519 COMMERCE DR NW
ROCHESTER, MN 55901
Olmsted County (507) 446-0431
LONI FAGEL
Counselor (Professional)
2519 COMMERCE DR NW
ROCHESTER, MN 55901
Olmsted County (507) 446-0431
ASHLEY JOHNSON LPCC
Counselor (Professional)
2519 COMMERCE DR NW
ROCHESTER, MN 55901
Olmsted County (507) 446-0431
ALLISON JOHNSON LPCC
Counselor (Professional)
2519 COMMERCE DR NW
ROCHESTER, MN 55901
Olmsted County (507) 446-0431

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 Audra Bolduan's NPI number?

The NPI number for Audra Bolduan is 1194512574. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Audra Bolduan located?

Audra Bolduan practices at 2519 Commerce Dr NW, Rochester, MN 55901. The listed phone number is (507) 446-0431.

What is Audra Bolduan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Audra Bolduan enrolled in Medicare?

Yes. Audra Bolduan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Audra Bolduan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audra Bolduan reassigns Medicare benefits to Fernbrook Family Center, Inc (Owatonna, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Audra Bolduan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Audra Bolduan accept?

Health plans from HealthPartners list Audra Bolduan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Audra Bolduan was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.