Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Jodi Rae Boerger Wilder, LP
Psychologist in Detroit Lakes, MN · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1699744227
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Registry record
Entity type Individual (Type 1)
Name Dr. Jodi Rae Boerger Wilder
Credential LP
Sex Female
Practice address 1245 Washington Ave, Detroit Lakes, MN, 56501
Phone (218) 846-2000
Fax (218) 846-2114
Enumeration date Mar 16, 2006
Last updated in NPPES Mar 8, 2023
Taxonomy & licenses
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License LP4398 (MN) Secondary
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP37004 | Other | - | HEALTH PARTNERS |
| 629899100 | Medicaid | MN | - |
| 1699744227 | Medicaid | MN | - |
| 22522 | Other | ND | BCBS OF ND |
| 1032397 | Other | - | PREFERRED ONE |
| 310T1B0 | Other | MN | BCBS BHST |
| 171126 | Other | MN | UCARE ALTRU |
| 6159749 | Other | MN | UBH MEDICA |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Jodi Boerger Wilder?
Jodi Boerger Wilder is registered in NPPES with the primary taxonomy of Psychologist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-08.