KATRINA MARIE BODEN CNP
NPI 1336020882
Nurse Practitioner in Grand Rapids, MN

Q: What is Katrina Boden's NPI number?

The NPI number for Katrina Boden is 1336020882. It was assigned to this individual provider in the NPPES registry on September 10, 2025.

Q: What is Katrina Boden's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katrina Boden was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 10, 2025PECOS EnrolledAccepts Medicare Assignment

1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744(218) 326-3401 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Katrina Marie Boden Cnp NPPES

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

KATRINA MARIE BODEN CNP (NPI 1336020882) is an individual nurse practitioner in Grand Rapids, Minnesota, licensed in Minnesota (13346) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Grand Itasca Clinic And Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1336020882

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKATRINA MARIE BODENCredential: CNP

Location Address1601 GOLF COURSE RDGrand Rapids, MN 55744-8648

Mailing Address21045 S Moose Point RdGrand Rapids, MN 55744-4923 · (218) 326-3401

Phone(218) 326-3401

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 10, 2025

NPPES CertifiedSeptember 10, 2025

✔ NPI 1336020882 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 · 13346

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.

1601 GOLF COURSE RD, Grand Rapids, MN 55744

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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

Katrina Marie Boden Cnp 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 ID7214433390

PECOS Enrollment IDI20250929003672

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grand Itasca Clinic And Hospital

Acute Care Hospitals · Grand Rapids, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number240064

Location1601 Golf Course RoadGrand Rapids, MN 55744 · Itasca County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55744 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 20

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

MRS. JESSICA JO DAY NURSE PRACTITIONER

Nurse Practitioner (Family)