Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annette Marie Bothun, PA-C

Individual provider Physician Assistant · NPI 1528583846

Annette Marie Bothun, PA-C is a Physician Assistant in Grand Forks, North Dakota. Qualified in 2017, 9 years ago. Practices with William Noyes MD PC, a 4-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota and North Dakota.

Years since qualifying
9
Licensed in
MN, ND
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1451 44th Ave S Ste E
Grand Forks, ND 58201-3434
Phone: (701) 787-5800
Fax: (701) 787-5802
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 711 Delmore Dr, Roseau, MN 56751-1534 — (218) 463-1365
  • 412 Main Ave Ne, Warroad, MN 56763-2342 — (218) 386-2020

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAC0723 (ND)
Physician Assistant Taxonomy 363A00000X · Licence 12482 (MN)

Record details

NPI number1528583846
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 8, 2017
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice William Noyes Md Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Forks