MARK D BOLDT NP
NPI 1922070762
Nurse Practitioner - Adult Health in Saint Paul, MN
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
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mark D Boldt Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mark Boldt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55413
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Mngi Digestive Health PA
- 322 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 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.
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 55114
SAINT PAUL, MN 55114
SAINT PAUL, MN 55114
SAINT PAUL, MN 55114
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.
Which organization bills Medicare for Mark Boldt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Boldt reassigns Medicare benefits to Mngi Digestive Health, P.A. (Minneapolis, 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 Mark Boldt'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 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.
# Mark D Boldt, NP · NPI 1922070762
Adult Health physician in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since February 6, 2006.
## Identity
- **NPI:** 1922070762 (Entity type: Individual)
- **Enumerated:** February 6, 2006
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** R0901701 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2550 UNIVERSITY AVE W, SUITE 423 SOUTH, Saint Paul, MN 55114-1052
- **Phone:** (612) 870-5557 · **Fax:** (612) 870-5857
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mngi Digestive Health, P.A. (NPI 1609804541, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2007
- **Other identifiers:** Medicare UPIN P34925 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1922070762) · Data from the CMS NPPES public registry.