JESSICA BOEGNER DO, MED
NPI 1073074274
Pediatrics - Pediatric Critical Care Medicine in Orlando, FL

Q: What is Jessica Boegner's NPI number?

The NPI number for Jessica Boegner is 1073074274. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Q: What is Jessica Boegner's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Boegner was last updated on August 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 29, 2019PECOS Enrolled

92 W MILLER ST, ORLANDO, FL 32806(321) 841-5104(321) 841-6871 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Jessica Boegner Do, Med NPPES

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

JESSICA BOEGNER DO, MED (NPI 1073074274) is an individual pediatric critical care medicine provider in Orlando, Florida, licensed in Florida (OS19046) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2019).

NPPES Registry Identity

NPI1073074274

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameJESSICA BOEGNERCredential: DO, MED

Location Address92 W MILLER STOrlando, FL 32806-2032

Mailing Address92 W Miller StOrlando, FL 32806-2032 · (321) 841-5104 · Fax (321) 841-6871

Phone(321) 841-5104

Fax(321) 841-6871

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2019

Enumeration DateMarch 29, 2019

Last NPPES UpdateAugust 28, 2025

NPPES CertifiedAugust 28, 2025

✔ NPI 1073074274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in FL · OS19046

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License OS19046 (FL)

92 W MILLER ST, Orlando, FL 32806

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1501 6th Ave SSt Petersburg, FL 33701-4634 · Phone (727) 456-4543

Location 2500 University DrHershey, PA 17033-2360 · Phone (717) 531-1368

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Boegner Do, Med is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911239314

PECOS Enrollment IDI20250703001669

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.

Leave this field empty