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

Mrs. Courtney Ann Bothun, FNP-C

Individual provider Family Nurse Practitioner · NPI 1700515582

Mrs. Courtney Ann Bothun, FNP-C is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2022, 4 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2022
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1021 Bandana Blvd E Ste 100
Saint Paul, MN 55108-5109
Phone: (651) 241-9700
Fax: (651) 241-9683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Willmar Ave Sw, Willmar, MN 56201-3556 — (320) 231-5000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9216 (MN)

Record details

NPI number1700515582
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 7, 2022
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024

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 Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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