Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1912950577 Deactivated / Inactive NPI Male Practitioner

Dr. Peter James Boardman , MD

Personal Emergency Response Attendant • Spooner, WI

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Peter Boardman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 17, 2006
NPI Deactivation Date May 14, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Peter Boardman, MD was a registered Personal Emergency Response Attendant practicing in Spooner, WI. Throughout an active medical career spanning 20 years, Dr. Boardman provided care at the practice location at 707 ASH ST until profile deactivation on 2026-05-14.

Practice Location & Contact Primary Location

Practice Address

707 Ash St

Spooner, WI 548011234

Telephone 7156352170

Specialty Benchmarks & Practice Insights

Comparative analytics for Personal Emergency Response Attendant in Spooner, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Spooner, WI (8 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

Medical Specialties & State Licenses

Personal Emergency Response Attendant Primary Specialty

NUCC Taxonomy Code: 146D00000X

State License WI 40995020

Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Janet Kennedy , PTA

Physical Therapy Assistant

NPI 1346370780

Physical Therapist Assistant

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated May 14, 2026

Record deactivated on May 14, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 707 ASH ST, SPOONER, WI 548011234 (Tel: 7156352170)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5418 POMPANO DR, MINNETONKA, MN 553439405 (Tel: 9529335858)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER BOARDMAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Personal Emergency Response Attendant (License #40995020 in WI)

🟢
Initial NPI Registration & Enumeration May 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Peter Boardman. Be the first to share your experience!

Sign in to leave a review for Dr. Peter Boardman

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1912950577
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2006
Last Update: July 08, 2007
Deactivation Date: May 14, 2026

Mailing Address

5418 Pompano Dr

Minnetonka, MN 553439405

Phone: 9529335858

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.