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Jimi Leah Boulet , NP

Nurse Practitioner β€’ Minnetonka, MN

Active NPI 1902108376 Individual Practitioner Female Practitioner
Practice location in NPPES

9900 Bren Rd E
Minnetonka, MN 553439664

Call 6083326905 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9900 Bren Rd E

Minnetonka, MN 553439664

Telephone 6083326905
Organization at the Same NPPES Address or Phone
Evercare Collaborative Solutions Inc Facility NPI 1285686378

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Minnetonka and Minnesota

82 active clinicians are listed under Nurse Practitioner with a practice address in Minnetonka, MN (2,583 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Minnetonka

2.4% of these 82 clinicians have the CMS telehealth indicator.

4.9% of these 82 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-09-25
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES WA 60616114-NP

(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.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES WI 169703-030

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES WA 60404379-RN

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES WI 5396-33

(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.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

License # reported to NPPES WI 5396-33
Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

License # reported to NPPES WA 60616114-NP
Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

License # reported to NPPES WI 5396-33
Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

License # reported to NPPES WA 60616114-NP
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Melika Abdulwhab

Nurse Practitioner - Primary Care

NPI 1538662515
Patricia Arroyo , FNP

Clinical Nurse Specialist - Family Health

NPI 1285071811

Family Nurse Practitioner

Simone Bentley , APRN

Nurse Practitioner - Adult Health

NPI 1174872469

Advanced Practice Registered Nurse

Shanequa Boone

Nurse Practitioner - Psychiatric/Mental Health

NPI 1174059919
NPI 1114029618

Master of Science, Family Nurse Practitioner (Certified)

Charlene Brush , ARNP

Nurse Practitioner - Family

NPI 1982872313

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location September 25, 2020

Registered at 9900 BREN RD E, MINNETONKA, MN 553439664 (Tel: 6083326905)

πŸ“
Updated Business Mailing Address September 25, 2020

Registered at 1712A CALIFORNIA AVE SW, SEATTLE, WA 981161903 (Tel: 6083326905)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2020

Registered Nurse (license number reported to NPPES: WI 169703-030)

βœ…
NPI Profile Active January 26, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location January 26, 2017

Registered at 4425 ISSAQUAH PINE LAKE RD SE, APT H11, SAMMAMISH, WA 98075 (Tel: 6083326905)

πŸ“
Updated Business Mailing Address January 26, 2017

Registered at 4425 ISSAQUAH PINE LAKE RD SE, APT H11, SAMMAMISH, WA 98075 (Tel: 6083326905)

πŸ‘€
Provider Name / Credentials Updated January 26, 2017

Recorded as JIMI BOULET, NP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2017

Registered Nurse (license number reported to NPPES: WA 60404379-RN)

βœ…
NPI Profile Active October 01, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 01, 2013

Registered at 327 S SILVER LAKE ST, OCONOMOWOC, WI 530663759 (Tel: 6083326905)

πŸ“
Business Mailing Address (Initial Record) October 01, 2013

Registered at 327 S SILVER LAKE ST, OCONOMOWOC, WI 530663759 (Tel: 6083326905)

πŸ‘€
Provider Name / Credentials (Initial Record) October 01, 2013

Recorded as JIMI BOULET, AGPCNP-BC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2013

Registered Nurse (license number reported to NPPES: WI 169703-030)

🟒
Initial NPI Registration & Enumeration November 17, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1902108376
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2010
Last Update: September 25, 2020
Sole Proprietor: Yes

Other Nurse Practitioners in Minnetonka

All Nurse Practitioners in Minnetonka

Mailing Address

1712a California Ave Sw

Seattle, WA 981161903

Phone: 6083326905

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.