KELLY MARIE BOLF
NPI 1629004247
Nurse Practitioner - Family in Duluth, MN
About Kelly Marie Bolf NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY MARIE BOLF (NPI 1629004247) is an individual family provider in Duluth, Minnesota, licensed in Minnesota (R1345942) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
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
Kelly Marie Bolf 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
6Medicare enrollment records show Kelly Bolf reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Duluth, MN 55805
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- 1,460 clinicians in this Medicare group
Duluth, MN 55805
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: St Marys Medical Center
- 179 clinicians in this Medicare group
Duluth, MN 55805
- Reassigned Medicare billing, Minnesota enrollment
- 513 clinicians in this Medicare group
Virginia, MN 55792
- Reassigned Medicare billing, Minnesota enrollment
- 171 clinicians in this Medicare group
Grand Rapids, MN 55744
- Reassigned Medicare billing, Minnesota enrollment
- 171 clinicians in this Medicare group
Saint Cloud, MN 56303
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Gillette Childrens Specialty Healthcare
- 304 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 2
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Mary's Medical Center
Acute Care Hospitals · Duluth, MNEssentia Health Duluth
Acute Care Hospitals · Duluth, MNSt Lukes Hospital
Acute Care Hospitals · Duluth, MNEssentia Health Moose Lake
Critical Access Hospitals · Moose Lake, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55805 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.
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 Kelly Bolf's NPI number?
The NPI number for Kelly Bolf is 1629004247. It was assigned to this individual provider in the NPPES registry on June 24, 2006.
Where is Kelly Bolf located?
Kelly Bolf practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.
What is Kelly Bolf's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Bolf enrolled in Medicare?
Yes. Kelly Bolf 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 Kelly Bolf's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Bolf reassigns Medicare benefits to 6 organizations: The Duluth Clinic, Ltd (Duluth, MN), St. Mary's Medical Center (Duluth, MN), St. Luke's Hospital Of Duluth (Duluth, MN), Essentia Health Virginia, LLC (Virginia, MN), Deer River Healthcare Center, Inc. (Grand Rapids, MN) and 1 more organization, listed in the Medicare section above. 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 Kelly Bolf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Bolf accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Sanford Health Plan and Security Health Plan list Kelly Bolf 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.
Is Kelly Bolf affiliated with any hospitals?
According to CMS data, Kelly Bolf is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth, St Lukes Hospital and Essentia Health Moose Lake.
When was this NPI record last updated?
The NPPES record for Kelly Bolf was last updated on April 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Kelly Marie Bolf · NPI 1629004247
Family physician in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since June 24, 2006.
## Identity
- **NPI:** 1629004247 (Entity type: Individual)
- **Enumerated:** June 24, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R1345942 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 E 3RD ST, Duluth, MN 55805-1951
- **Phone:** (218) 786-8364
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): The Duluth Clinic, Ltd (NPI 1245278209, Duluth, MN); St. Mary's Medical Center (NPI 1013933936, Duluth, MN); St. Luke's Hospital Of Duluth (NPI 1184678880, Duluth, MN); Essentia Health Virginia, LLC (NPI 1083617120, Virginia, MN); Deer River Healthcare Center, Inc. (NPI 1093152423, Grand Rapids, MN); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** April 29, 2011
- **Other identifiers:** Medicare UPIN P69596; Medicare ID-Type Unspecified 500002149 (MN); Medicaid 599190100 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1629004247) · Data from the CMS NPPES public registry.