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Active NPI 1336020882 Individual Practitioner Female Practitioner

Katrina Marie Boden , CNP

Nurse Practitioner • Grand Rapids, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Katrina Boden, CNP is a certified Nurse Practitioner practicing in Grand Rapids, MN. With approximately 1 years of clinical experience since completing medical education in 2025, Katrina Boden delivers high-quality medical care to the local community at 1601 GOLF COURSE RD.

Katrina Boden is affiliated with Grand Itasca Clinic And Hospital and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1601 Golf Course Rd

Grand Rapids, MN 557448648

Telephone 2183263401
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Grand Rapids, MN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -2.5 yrs vs City Avg
City Avg: 3.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Grand Rapids, MN (2609 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boden (1 Years) 1 Yrs
Grand Rapids Specialty Average (3.5 Years) 3.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-10
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN 13346

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Grand Itasca Clinic And Hospital

1601 Goldf Course Rd, Grand Rapids, MN 557448648

Phone: 2183263401

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jessica Day , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1013569722

NURSEPRACTITIONER

Emilee Olson

Student in an Organized Health Care Education/Training Program

NPI 1023795317
Bobbi Olson , CNP

Nurse Practitioner - Family

NPI 1033993555

Certified Nurse Practitioner

Caitlin Meyers , PA-C

Physician Assistant

NPI 1073094850

Physician Assistant (Certified)

NPI 1073133534

Doctor of Medicine (M.D.)

Joseph Lackner , PA-C

Physician Assistant

NPI 1073477089

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 10, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2025

Registered at 1601 GOLF COURSE RD, GRAND RAPIDS, MN 557448648 (Tel: 2183263401)

📍
Updated Business Mailing Address September 10, 2025

Registered at 21045 S MOOSE POINT RD, GRAND RAPIDS, MN 557444923 (Tel: 2183263401)

👤
Provider Name / Credentials Updated September 10, 2025

Recorded as KATRINA BODEN, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2025

Nurse Practitioner (License #13346 in MN)

🟢
Initial NPI Registration & Enumeration September 10, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336020882
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2025
Last Update: September 10, 2025
Sole Proprietor: No

Mailing Address

21045 S Moose Point Rd

Grand Rapids, MN 557444923

Phone: 2183263401

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.