DR. ALISSA BOEKHOUT NP
NPI 1639804214
Nurse Practitioner - Family in Eden Prairie, MN

Active since July 19, 2022PECOS EnrolledAccepts Medicare Assignment
6452 CITY WEST PKWY, EDEN PRAIRIE, MN 55344(952) 999-0333 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2022, Jul 19, 2022 (2 updates tracked since 2022).

About Dr. Alissa Boekhout Np NPPES

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

DR. ALISSA BOEKHOUT NP (NPI 1639804214) is an individual family provider in Eden Prairie, Minnesota, licensed in Minnesota (9504) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639804214
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. ALISSA BOEKHOUTCredential: NP
Location Address6452 CITY WEST PKWYEden Prairie, MN 55344-3245
Mailing Address5801 157th Ln NwRamsey, MN 55303-5943 · (319) 541-1521
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 19, 2022
Last NPPES UpdateSeptember 6, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2022
NPI 1639804214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · 9504
Also ListedRegistered NurseTaxonomy 163W00000X · License 236323-7 (MN)
6452 CITY WEST PKWY, Eden Prairie, MN 55344

Accepted Insurance

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

Dr. Alissa Boekhout Np 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 ID6901276294
PECOS Enrollment IDI20230103000910
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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55344 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 19

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

Nurse Practitioner (Family)
6452 CITY WEST PKWY
EDEN PRAIRIE, MN 55344
Nurse Practitioner
6452 CITY WEST PKWY
EDEN PRAIRIE, MN 55344
Speech-Language Pathologist
6452 CITY WEST PKWY
EDEN PRAIRIE, MN 55344
Nurse Practitioner (Family)
6452 CITY WEST PKWY
EDEN PRAIRIE, MN 55344
Nurse Practitioner (Family)
6452 CITY WEST PKWY
EDEN PRAIRIE, MN 55344
Nurse Practitioner (Family)
6452 CITY WEST PKWY
EDEN PRAIRIE, MN 55344
Nurse Practitioner (Family)
6452 CITY WEST PKWY
EDEN PRAIRIE, MN 55344
Nurse Practitioner (Family)
6452 CITY WEST PKWY
EDEN PRAIRIE, MN 55344

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 Alissa Boekhout's NPI number?

The NPI number for Alissa Boekhout is 1639804214. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Alissa Boekhout located?

Alissa Boekhout practices at 6452 City West Pkwy, Eden Prairie, MN 55344. The listed phone number is (952) 999-0333.

What is Alissa Boekhout's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alissa Boekhout enrolled in Medicare?

Yes. Alissa Boekhout 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.

What insurance does Alissa Boekhout accept?

Health plans from Medica list Alissa Boekhout 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 Alissa Boekhout was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.