HOLLY LOUISE BOYUM MD
NPI 1992446033
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Q: What is Holly Boyum's NPI number?

The NPI number for Holly Boyum is 1992446033. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Holly Boyum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Boyum was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 05, 2022PECOS Enrolled

701 PARK AVE, MINNEAPOLIS, MN 55415(612) 873-3000 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Holly Louise Boyum Md NPPES

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

HOLLY LOUISE BOYUM MD (NPI 1992446033) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992446033

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameHOLLY LOUISE BOYUMCredential: MD

Location Address701 PARK AVEMinneapolis, MN 55415-1829

Mailing Address701 Park AveMinneapolis, MN 55415-1829 · (612) 873-3000

Phone(612) 873-3000

Sole ProprietorNo

Enumeration DateApril 5, 2022

NPPES CertifiedApril 4, 2022

✔ NPI 1992446033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

701 PARK AVE, Minneapolis, MN 55415

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Louise Boyum Md 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.

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.

DR. MICHAEL CHARLES HARLOW MD

Psychiatry & Neurology (Psychiatry)