MR. BEAU BOEDECKER PA-C
NPI 1093012734
Physician Assistant in Milwaukee, WI

Active since February 15, 2011PECOS EnrolledAccepts Medicare Assignment
2801 W KINNICKINNIC RIVER PKWY STE 550, MILWAUKEE, WI 53215(414) 385-7150(414) 385-7159 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Beau Boedecker Pa-c NPPES

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

MR. BEAU BOEDECKER PA-C (NPI 1093012734) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Wisconsin (2701-23) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1093012734
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. BEAU BOEDECKERCredential: PA-C
Location Address2801 W KINNICKINNIC RIVER PKWY STE 550Milwaukee, WI 53215-3696
Mailing Address6250 Thornridge LnGreendale, WI 53129-2651 · (414) 303-8332
Fax(414) 385-7159
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 15, 2011
Last NPPES UpdateJanuary 3, 2022
NPPES CertifiedJanuary 3, 2022
NPI 1093012734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 2701-23
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.
2801 W KINNICKINNIC RIVER PKWY STE 550, Milwaukee, WI 53215

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Beau Boedecker Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173701638
PECOS Enrollment IDI20110705000077
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 7

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

Nurse Practitioner
2801 W KINNICKINNIC RIVER PKWY STE 550
MILWAUKEE, WI 53215
Nurse Practitioner
2801 W KINNICKINNIC RIVER PKWY STE 550
MILWAUKEE, WI 53215
Psychiatry & Neurology (Neurology)
2801 W KINNICKINNIC RIVER PKWY STE 550
MILWAUKEE, WI 53215
Psychiatry & Neurology (Clinical Neurophysiology)
2801 W KINNICKINNIC RIVER PKWY STE 550
MILWAUKEE, WI 53215
Nurse Practitioner
2801 W KINNICKINNIC RIVER PKWY STE 550
MILWAUKEE, WI 53215
Nurse Practitioner (Family)
2801 W KINNICKINNIC RIVER PKWY STE 550
MILWAUKEE, WI 53215
Nurse Practitioner
2801 W KINNICKINNIC RIVER PKWY STE 550
MILWAUKEE, WI 53215

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 Beau Boedecker's NPI number?

The NPI number for Beau Boedecker is 1093012734. It was assigned to this individual provider in the NPPES registry on February 15, 2011.

Where is Beau Boedecker located?

Beau Boedecker practices at 2801 W Kinnickinnic River Pkwy Ste 550, Milwaukee, WI 53215. The listed phone number is (414) 385-7150.

What is Beau Boedecker's specialty?

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

Is Beau Boedecker enrolled in Medicare?

Yes. Beau Boedecker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Beau Boedecker accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Beau Boedecker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Beau Boedecker affiliated with any hospitals?

According to CMS data, Beau Boedecker is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Beau Boedecker was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.