Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ERIN ELIZABETH BOTHUN
NPI 1730014028
Nurse Practitioner - Family in Grand Forks, ND

Active since June 16, 2026PECOS Enrolled
212 S 4TH ST, GRAND FORKS, ND 58201(701) 757-2100 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2026, Jul 8, 2026 (2 updates tracked since 2026).

About Erin Elizabeth Bothun NPPES

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

ERIN ELIZABETH BOTHUN (NPI 1730014028) is an individual family provider in Grand Forks, North Dakota, licensed in North Dakota (205466) and active in the NPI registry since June 2026. The provider is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1730014028
Entity TypeIndividual
Primary Taxonomy363LF0000X
Provider Legal NameERIN ELIZABETH BOTHUN
Location Address212 S 4TH STGrand Forks, ND 58201-4777
Mailing Address212 S 4th StGrand Forks, ND 58201-4777 · (701) 757-5100 · Fax (701) 757-0305
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 16, 2026
Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1730014028 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
Licenses✔ Licensed in ND · 205466✔ Licensed in MN · 14404
Also ListedRegistered NurseTaxonomy 163W00000X · License 2509343 (MN), R51629 (ND)
212 S 4TH ST, Grand Forks, ND 58201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erin Elizabeth Bothun is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587122262
PECOS Enrollment IDI20260813003286
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.

Medicare Billing Reassignment

Medicare enrollment records show Erin Bothun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Federally Qualified Health Center (FQHC)
212 S 4TH ST, SUITE 301
Grand Forks, ND 58201
  • Reassigned Medicare billing, North Dakota enrollment
  • 19 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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 8

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

Dentist
212 S 4TH ST, SUITE 101
GRAND FORKS, ND 58201
Social Worker
212 S 4TH ST, SUITE 401
GRAND FORKS, ND 58201
Clinic/Center (Federally Qualified Health Center (FQHC))
212 S 4TH ST, SUITE 301
GRAND FORKS, ND 58201
Social Worker
212 S 4TH ST
GRAND FORKS, ND 58201
Community Health Worker
212 S 4TH ST
GRAND FORKS, ND 58201
Community Health Worker
212 S 4TH ST
GRAND FORKS, ND 58201
Clinic/Center (Federally Qualified Health Center (FQHC))
212 S 4TH ST, SUITE 101
GRAND FORKS, ND 58201
Community Health Worker
212 S 4TH ST
GRAND FORKS, ND 58201

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 Erin Bothun's NPI number?

The NPI number for Erin Bothun is 1730014028. It was assigned to this individual provider in the NPPES registry on June 16, 2026.

Where is Erin Bothun located?

Erin Bothun practices at 212 S 4th St, Grand Forks, ND 58201. The listed phone number is (701) 757-2100.

What is Erin Bothun's specialty?

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

Is Erin Bothun enrolled in Medicare?

Yes. Erin Bothun is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Erin Bothun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erin Bothun reassigns Medicare benefits to Spectra Health (Grand Forks, ND). 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 Erin Bothun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erin Bothun accept?

Health plans from Blue Cross Blue Shield of North Dakota list Erin Bothun 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 Erin Bothun was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.