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

John Boettger

Individual provider Physician Assistant · NPI 1053807719

John Boettger is a Physician Assistant in Apple Valley, Minnesota. Qualified in 2018, 8 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2018

Practice location Address checks out

15350 English Ave
Apple Valley, MN 55124
Phone: (952) 431-8500
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12718 (MN)

Record details

NPI number1053807719
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 6, 2018
Last updated in NPPESOctober 9, 2024
Certification dateOctober 4, 2024
Mailing address8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Apple Valley