MRS. COURTNEY ANN BOTHUN FNP-C
NPI 1700515582
Nurse Practitioner - Family in Saint Paul, MN
About Mrs. Courtney Ann Bothun Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. COURTNEY ANN BOTHUN FNP-C (NPI 1700515582) is an individual family provider in Saint Paul, Minnesota, licensed in Minnesota (9216) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Willmar, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 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
Mrs. Courtney Ann Bothun Fnp-c 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 Reassignment
Medicare enrollment records show Courtney Bothun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Paul, MN 55108
- Reassigned Medicare billing, Minnesota enrollment
- 2,609 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 10
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55108 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 PAUL, MN 55108
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 Courtney Bothun's NPI number?
The NPI number for Courtney Bothun is 1700515582. It was assigned to this individual provider in the NPPES registry on June 7, 2022. The provider is also known as Courtney Ann Schulze.
Where is Courtney Bothun located?
Courtney Bothun practices at 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108. The listed phone number is (651) 241-9700.
What is Courtney Bothun's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Courtney Bothun enrolled in Medicare?
Yes. Courtney Bothun 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 organization bills Medicare for Courtney Bothun's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Bothun reassigns Medicare benefits to Allina Health System (St Paul, MN). The 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 Courtney Bothun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Courtney Bothun was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Courtney Ann Bothun, FNP-C · NPI 1700515582
Family physician in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since June 7, 2022.
## Identity
- **NPI:** 1700515582 (Entity type: Individual)
- **Enumerated:** June 7, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 9216 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1021 BANDANA BLVD E STE 100, Saint Paul, MN 55108-5109
- **Phone:** (651) 241-9700 · **Fax:** (651) 241-9683
## 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:** Allina Health System (NPI 1023314804, St Paul, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1700515582) · Data from the CMS NPPES public registry.