MARK D BOLDT NP
NPI 1922070762
Nurse Practitioner - Adult Health in Saint Paul, MN

Active since February 06, 2006PECOS Enrolled
2550 UNIVERSITY AVE W, SUITE 423 SOUTH, SAINT PAUL, MN 55114(612) 870-5557(612) 870-5857 Get Directions Write a Review

NPPES record last updated: October 29, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark D Boldt Np NPPES

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

MARK D BOLDT NP (NPI 1922070762) is an individual adult health provider in Saint Paul, Minnesota, licensed in Minnesota (R0901701) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922070762
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMARK D BOLDTCredential: NP
Location Address2550 UNIVERSITY AVE W, SUITE 423 SOUTHSaint Paul, MN 55114-1052
Mailing AddressPo Box 14909Minneapolis, MN 55414-0909 · (612) 870-5557 · Fax (612) 870-5857
Fax(612) 870-5857
Sole ProprietorNo
Enumeration DateFebruary 6, 2006
Last NPPES UpdateOctober 29, 2007
NPI 1922070762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MN · R0901701
2550 UNIVERSITY AVE W, Saint Paul, MN 55114

Other Identifiers 1

Medicare UPINP34925MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mark D Boldt Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55114 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 20

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

Marriage & Family Therapist
2550 UNIVERSITY AVE W, STE 435 S
SAINT PAUL, MN 55114
Internal Medicine (Gastroenterology)
2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114
Dietitian, Registered
2550 UNIVERSITY AVE W
SAINT PAUL, MN 55114
Marriage & Family Therapist
2550 UNIVERSITY AVE W, SUITE 314N
SAINT PAUL, MN 55114
Psychologist (Clinical)
2550 UNIVERSITY AVE W, SUITE 314N
SAINT PAUL, MN 55114
Physical Therapist
2550 UNIVERSITY AVE W, SUITE 189S
SAINT PAUL, MN 55114
Psychologist
2550 UNIVERSITY AVE W, STE 229N
SAINT PAUL, MN 55114
Physician Assistant (Medical)
2550 UNIVERSITY AVE W, SUITE 110N
SAINT PAUL, MN 55114

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 Mark Boldt's NPI number?

The NPI number for Mark Boldt is 1922070762. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Mark Boldt located?

Mark Boldt practices at 2550 University Ave W Suite 423 South, Saint Paul, MN 55114. The listed phone number is (612) 870-5557.

What is Mark Boldt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Mark Boldt enrolled in Medicare?

Yes. Mark Boldt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Boldt was last updated on October 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.