Doctor profile · Federal record
Dr. Kelly Boie, PPCNP-BC
Pediatric Nurse Practitioner · Pediatric Registered Nurse · Minnetonka, MN
- NPI 1063485514
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
14001 Ridgedale Dr, Ste 100
Minnetonka, MN 553051781
(952) 473-0211
fax (952) 473-7908
Credentials & registration
- NPI registered
- February 2006 — 20 yrs on file
- Profile last updated
- May 3, 2016
- Specialty taxonomy
- 363LP0200X — NUCC code
- State licenses (2)
- Minnesota #CNP0812 · Minnesota #R1121373
- Medicaid
- MN #731306300
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063485514. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$109
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Fresenius Kabi USA, LLC | 1 | $108.58 |
By nature of payment
Frequently asked questions
What is Dr. Kelly Boie's medical specialty?
Dr. Kelly Boie practices Pediatric Nurse Practitioner in Minnetonka, MN.
Where does Dr. Kelly Boie practice?
Dr. Kelly Boie practices at 14001 Ridgedale Dr, Ste 100, Minnetonka, MN 553051781. Office phone: 9524730211.
What is Dr. Kelly Boie's NPI?
Dr. Kelly Boie's National Provider Identifier (NPI) is 1063485514, issued by NPPES.