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

Krystal J Boardman, RNNP

Individual provider Nurse Practitioner · NPI 1073719175

Krystal J Boardman, RNNP is a Nurse Practitioner in Madison, Wisconsin. Qualified in 2007, 19 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
19
Licensed in
WI
In the registry since
2007
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Practice location Address checks out

2402 Winnebago St
Madison, WI 53704-5341
Phone: (608) 287-2832
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3150-033 (WI)

Record details

NPI number1073719175
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNNP
Sole proprietorNo
NPI enumeratedJune 25, 2007
Last updated in NPPESFebruary 17, 2021
Certification dateFebruary 17, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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