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

Dr. Judith Rose Boylan, MD

Individual provider Family Medicine Physician · NPI 1952788291

Dr. Judith Rose Boylan, MD is a Family Practice in St Louis Park, Minnesota. Graduated from University of Minnesota Medical School in 2015, 11 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Texas.

Years since qualifying
11
Trained at
University of Minnesota Medical School
Licensed in
MN, TX
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone: (952) 993-5000
Show map & directions

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

Additional practice locations (1)

  • 425 University Blvd, Round Rock, TX 78665-1053 — (512) 509-0200

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 60684 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence T3043 (TX)

Record details

NPI number1952788291
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 6, 2015
Last updated in NPPESAugust 3, 2022
Certification dateAugust 3, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2015 (11 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in St Louis Park