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VICKY BOEDIGHEIMER
NPI 1114481496
Physician Assistant in Nashville, TN

Active since January 30, 2019PECOS EnrolledAccepts Medicare Assignment
3803 BEDFORD AVE STE 102, NASHVILLE, TN 37215(615) 249-4700(615) 206-2345 Get Directions Write a Review

NPPES record last updated: January 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2026, Oct 26, 2020, Oct 23, 2020 and 2 more (5 updates tracked since 2019).

About Vicky Boedigheimer NPPES

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

VICKY BOEDIGHEIMER (NPI 1114481496) is an individual physician assistant in Nashville, Tennessee, licensed in Tennessee (5456) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1114481496
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameVICKY BOEDIGHEIMER
Location Address3803 BEDFORD AVE STE 102Nashville, TN 37215-2565
Mailing Address3803 Bedford Ave Ste 102Nashville, TN 37215-2565 · (615) 249-4700 · Fax (615) 206-2345
Phone(615) 249-4700
Fax(615) 206-2345
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 30, 2019
Last NPPES UpdateJanuary 31, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2026
✔ NPI 1114481496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 5456
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 ListedDermatologyTaxonomy 207N00000X · License 5456 (TN)
3803 BEDFORD AVE STE 102, Nashville, TN 37215
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Other Names 1

Former Name (1)Vicky Phan Pa

Secondary Practice Locations 2

Location 17833 Old Harding PikeNashville, TN 37221-3907 · Phone (615) 249-4700 · Fax (615) 206-2345
Location 2520 Duke Dr Ste 300Franklin, TN 37067-2948 · Phone (615) 249-4700 · Fax (615) 206-2345

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

Vicky Boedigheimer 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 ID2466788104
PECOS Enrollment IDI20260213001893
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 37215 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 3

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

NIKI BLY ANDERSON FNP
Nurse Practitioner (Family)
3803 BEDFORD AVE STE 102
NASHVILLE, TN 37215
Davidson County (615) 249-4700
RESTORATION DERMATOLOGY PLC
Dermatology (MOHS-Micrographic Surgery)
3803 BEDFORD AVE STE 102
NASHVILLE, TN 37215
Davidson County (615) 249-4700
VINEET MISHRA MD
Dermatology (MOHS-Micrographic Surgery)
3803 BEDFORD AVE STE 102
NASHVILLE, TN 37215
Davidson County (615) 813-0145

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 Vicky Boedigheimer's NPI number?

The NPI number for Vicky Boedigheimer is 1114481496. It was assigned to this individual provider in the NPPES registry on January 30, 2019. The provider is also known as Vicky Phan PA.

Where is Vicky Boedigheimer located?

Vicky Boedigheimer practices at 3803 Bedford Ave Ste 102, Nashville, TN 37215. The listed phone number is (615) 249-4700.

What is Vicky Boedigheimer's specialty?

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

Is Vicky Boedigheimer enrolled in Medicare?

Yes. Vicky Boedigheimer 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.

When was this NPI record last updated?

The NPPES record for Vicky Boedigheimer was last updated on January 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.