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MRS. ABIGAIL BOETHIN P.A.-C
NPI 1023369212
Physician Assistant in Urbana, IL

Active since September 27, 2012PECOS Enrolled
611 W PARK ST, FAPC, URBANA, IL 61801(217) 904-7000(217) 904-7748 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Abigail Boethin P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ABIGAIL BOETHIN P.A.-C (NPI 1023369212) is an individual physician assistant in Urbana, Illinois, licensed in Illinois (085007968) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023369212
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. ABIGAIL BOETHINCredential: P.A.-C
Location Address611 W PARK ST, FAPCUrbana, IL 61801
Mailing Address611 W Park St, FapcUrbana, IL 61801
Phone(217) 904-7000
Fax(217) 904-7748
Sole ProprietorNo
Enumeration DateSeptember 27, 2012
Last NPPES UpdateJune 11, 2021
NPPES CertifiedMay 27, 2021
✔ NPI 1023369212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in IL · 085007968✔ Licensed in MO · 2012033522
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 2012033522 (MO)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 2012033522 (MO)
611 W PARK ST, Urbana, IL 61801
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Abigail Boethin P.a.-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. UDAY BHASKAR KANAKADANDI MD
Internal Medicine (Interventional Cardiology)
611 W PARK ST, HVI
URBANA, IL 61801
Champaign County (217) 383-3110
DR. VIKAS DESAI MD
Urology
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3160
ANUJA BEDI D.O, M.P.H
Family Medicine
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
EMILY REMINGTON NP
Nurse Practitioner (Women's Health)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3140
MAHMOUD ELRAKHAWY MD
Surgery (Vascular Surgery)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 904-7000
KENDALL E WALLACE APRN
Nurse Practitioner (Family)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
ANNE FAHNESTOCK PT
Physical Therapist
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
TIMTIM APPERSON APRN
Family Medicine
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 954-2805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abigail Boethin's NPI number?

The NPI number for Abigail Boethin is 1023369212. It was assigned to this individual provider in the NPPES registry on September 27, 2012.

Where is Abigail Boethin located?

Abigail Boethin practices at 611 W Park St Fapc, Urbana, IL 61801. The listed phone number is (217) 904-7000.

What is Abigail Boethin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Abigail Boethin enrolled in Medicare?

Yes. Abigail Boethin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Abigail Boethin was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.