MRS. JESSICA LYNN BOEDEKER FNP
NPI 1093375115
Nurse Practitioner - Family in Saint Louis, MO

Active since June 20, 2019PECOS EnrolledAccepts Medicare Assignment
621 S NEW BALLAS RD STE 5003B, SAINT LOUIS, MO 63141(314) 251-8892 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 23, 2019, Jun 20, 2019 (2 updates tracked since 2019).

About Mrs. Jessica Lynn Boedeker Fnp NPPES

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

MRS. JESSICA LYNN BOEDEKER FNP (NPI 1093375115) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2018032910) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093375115
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JESSICA LYNN BOEDEKERCredential: FNP
Location Address621 S NEW BALLAS RD STE 5003BSaint Louis, MO 63141-8270
Mailing Address74 Lilley LnElsberry, MO 63343-3167 · (636) 236-2980
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 20, 2019
Last NPPES UpdateAugust 23, 20192 updates tracked since enumeration
NPI 1093375115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 2018032910
621 S NEW BALLAS RD STE 5003B, Saint Louis, MO 63141

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

Mrs. Jessica Lynn Boedeker Fnp 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 ID5597094243
PECOS Enrollment IDI20190905003600
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 2

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Mercy Hospital Lincoln

Critical Access Hospitals · Troy, MO
OwnershipGovernment - Local
CMS Certification Number261319
Location1000 East Cherry StreetTroy, MO 63379 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
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.

Psychiatry & Neurology (Neurology)
621 S NEW BALLAS RD STE 5003B
SAINT LOUIS, MO 63141
Nurse Practitioner (Family)
621 S NEW BALLAS RD STE 5003B
SAINT LOUIS, MO 63141
Social Worker (Clinical)
621 S NEW BALLAS RD STE 5003B
SAINT LOUIS, MO 63141
Psychiatry & Neurology (Neurology)
621 S NEW BALLAS RD STE 5003B
SAINT LOUIS, MO 63141
Nurse Practitioner (Adult Health)
621 S NEW BALLAS RD STE 5003B
SAINT LOUIS, MO 63141
Psychiatry & Neurology (Neurology)
621 S NEW BALLAS RD STE 5003B
SAINT LOUIS, MO 63141
Pharmacist
621 S NEW BALLAS RD STE 5003B
SAINT LOUIS, MO 63141

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 Jessica Boedeker's NPI number?

The NPI number for Jessica Boedeker is 1093375115. It was assigned to this individual provider in the NPPES registry on June 20, 2019.

Where is Jessica Boedeker located?

Jessica Boedeker practices at 621 S New Ballas Rd Ste 5003B, Saint Louis, MO 63141. The listed phone number is (314) 251-8892.

What is Jessica Boedeker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessica Boedeker enrolled in Medicare?

Yes. Jessica Boedeker 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 Jessica Boedeker accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Jessica Boedeker 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 Jessica Boedeker affiliated with any hospitals?

According to CMS data, Jessica Boedeker is affiliated with Mercy Hospital St Louis and Mercy Hospital Lincoln.

When was this NPI record last updated?

The NPPES record for Jessica Boedeker was last updated on August 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.