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

Dr. Alissa Boekhout, NP

Individual provider Registered Nurse · NPI 1639804214

Dr. Alissa Boekhout, NP is a Nurse Practitioner in Eden Prairie, Minnesota. Qualified in 2022, 4 years ago. Practices with New Kingdom Pediatrics LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2022
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

6452 City West Pkwy
Eden Prairie, MN 55344-3245
Phone: (952) 999-0333
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9504 (MN)
Registered Nurse Taxonomy 163W00000X · Licence 236323-7 (MN)

Record details

NPI number1639804214
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 19, 2022
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice New Kingdom Pediatrics Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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