DR. PETER BOARDMAN M.D.
NPI 1376500389
Psychiatry & Neurology - Neurology in St Louis Park, MN
About Dr. Peter Boardman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PETER BOARDMAN M.D. (NPI 1376500389) is an individual neurology provider in St Louis Park, Minnesota, licensed in Minnesota (48106) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and maintains a secondary practice location in Maplewood.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Peter Boardman M.d. 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.
Medicare Billing Reassignments
5Medicare enrollment records show Peter Boardman reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 clinicians in this Medicare group
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview Southdale Hospital
Acute Care Hospitals · Edina, MNM Health Fairview St John's Hospital
Acute Care Hospitals · Maplewood, MNM Health Fairview Woodwinds Hospital
Acute Care Hospitals · Woodbury, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55426 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAINT LOUIS PARK, MN 55426
ST LOUIS PARK, MN 55426
ST LOUIS PARK, MN 55426
SAINT LOUIS PARK, MN 55426
ST LOUIS PARK, MN 55426
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 Peter Boardman's NPI number?
The NPI number for Peter Boardman is 1376500389. It was assigned to this individual provider in the NPPES registry on April 26, 2006.
Where is Peter Boardman located?
Peter Boardman practices at 3931 Louisiana Ave S, St Louis Park, MN 55426. The listed phone number is (952) 993-3230.
What is Peter Boardman's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Peter Boardman enrolled in Medicare?
Yes. Peter Boardman 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.
Which organizations bill Medicare for Peter Boardman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Boardman reassigns Medicare benefits to 5 organizations: Park Nicollet Methodist Hospital (St Louis Park, MN), Fairview Express Care (Edina, MN), Fairview Health Services (Edina, MN), Fairview Specialty Services (Minneapolis, MN) and Healtheast Medical Research Institute (Saint Paul, MN). Each 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 Peter Boardman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Peter Boardman affiliated with any hospitals?
According to CMS data, Peter Boardman is affiliated with M Health Fairview Southdale Hospital, M Health Fairview St John's Hospital and M Health Fairview Woodwinds Hospital.
When was this NPI record last updated?
The NPPES record for Peter Boardman was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Dr. Peter Boardman, M.D. · NPI 1376500389
Neurology physician in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since April 26, 2006.
## Identity
- **NPI:** 1376500389 (Entity type: Individual)
- **Enumerated:** April 26, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 48106 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3931 LOUISIANA AVE S, St Louis Park, MN 55426-5000
- **Phone:** (952) 993-3230
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Park Nicollet Methodist Hospital (NPI 1194113217, St Louis Park, MN); Fairview Express Care (NPI 1538542204, Edina, MN); Fairview Health Services (NPI 1699752915, Edina, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN); Healtheast Medical Research Institute (NPI 1508191552, Saint Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2001
## Record status
- **NPPES last updated:** July 29, 2021
- **Other identifiers:** Medicaid 617667400 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1376500389) · Data from the CMS NPPES public registry.