DR. PATRICIA FERNANDES BOETTNER DDS, MS
NPI 1700153368
Dentist - Orofacial Pain in Roseville, MN

Q: What is Patricia Boettner's NPI number?

The NPI number for Patricia Boettner is 1700153368. It was assigned to this individual provider in the NPPES registry on November 28, 2011. The provider is also known as Dr. Patricia Fernandes Boettner Dds, Ms.

Q: What is Patricia Boettner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Q: Is Patricia Boettner enrolled in Medicare?

No. Patricia Boettner has opted out of Medicare through November 15, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Patricia Boettner was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 November 28, 2011Opted out of Medicare · through Nov 15, 2026

1835 COUNTY ROAD C W STE 200, ROSEVILLE, MN 55113(651) 636-2016 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Patricia Fernandes Boettner Dds, Ms NPPES

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

DR. PATRICIA FERNANDES BOETTNER DDS, MS (NPI 1700153368) is an individual orofacial pain provider in Roseville, Minnesota, licensed in Minnesota (D13422) and active in the NPI registry since November 2011. She has opted out of Medicare through November 15, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1700153368

Entity TypeIndividualFemale

Primary Taxonomy1223X2210X

Provider Legal NameDR. PATRICIA FERNANDES BOETTNERCredential: DDS, MS

Location Address1835 COUNTY ROAD C W STE 200Roseville, MN 55113-1353

Mailing Address2200 County Road C W Ste 2210Roseville, MN 55113-2551 · (651) 746-2815

Phone(651) 636-2016

Sole ProprietorNo

Enumeration DateNovember 28, 2011

Last NPPES UpdateFebruary 9, 2026

NPPES CertifiedFebruary 9, 2026

✔ NPI 1700153368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Orofacial PainDental Providers

Taxonomy Code1223X2210X

License✔ Licensed in MN · D13422

Definition

A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.

Also ListedDentistTaxonomy 122300000X · License D13422 (MN), FL34 (MN)

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X · License D13422 (MN)

1835 COUNTY ROAD C W STE 200, Roseville, MN 55113

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Other Names 1

Other Name (5)Dr. Patricia Fernandes Boettner Dds, Ms

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Patricia Fernandes Boettner Dds, Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 15, 2018 through November 15, 2026.

Opt-Out Effective DateNovember 15, 2018

Opt-Out In Effect ThroughNovember 15, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55113 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

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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 2

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

FACIAL PAIN CENTER PLLC

Clinic/Center (Dental)

1835 COUNTY ROAD C W STE 200
ROSEVILLE, MN 55113

Ramsey County (651) 636-2016

DR. CHRISTOPHER MICHAEL RIVERS DMD

Dentist (Oral and Maxillofacial Surgery)

1835 COUNTY ROAD C W STE 200
ROSEVILLE, MN 55113

Ramsey County (651) 760-3703

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 Patricia Boettner's NPI number?

The NPI number for Patricia Boettner is 1700153368. It was assigned to this individual provider in the NPPES registry on November 28, 2011. The provider is also known as Dr. Patricia Fernandes Boettner Dds, Ms.

Where is Patricia Boettner located?

Patricia Boettner practices at 1835 County Road C W Ste 200, Roseville, MN 55113. The listed phone number is (651) 636-2016.

What is Patricia Boettner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is Patricia Boettner enrolled in Medicare?

No. Patricia Boettner has opted out of Medicare through November 15, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Patricia Boettner accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Patricia Boettner 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 Patricia Boettner was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.