MANDY JEAN BOECKMAN FNP
NPI 1124520069
Nurse Practitioner - Family in Portland, IN

Active since March 07, 2018PECOS Enrolled
2796 W 500 S, PORTLAND, IN 47371(260) 729-3523(812) 220-4280 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2025, Feb 19, 2020, Jun 16, 2018 and 2 more (5 updates tracked since 2018).

About Mandy Jean Boeckman Fnp NPPES

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

MANDY JEAN BOECKMAN FNP (NPI 1124520069) is an individual family provider in Portland, Indiana, licensed in Indiana (71007881A) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124520069
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMANDY JEAN BOECKMANCredential: FNP
Location Address2796 W 500 SPortland, IN 47371-7308
Mailing Address2796 W 500 SPortland, IN 47371-7308 · (260) 729-3523 · Fax (812) 220-4280
Fax(812) 220-4280
Sole ProprietorNo
Enumeration DateMarch 7, 2018
Last NPPES UpdateApril 8, 20255 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
NPI 1124520069 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 IN · 71007881A
2796 W 500 S, Portland, IN 47371

Other Identifiers 1

Medicaid28209065AIN

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 (PECOS)

Mandy Jean Boeckman Fnp 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 47371 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%966 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%20 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
53%878 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
80%878 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
89%878 patients5/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
31%878 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Mandy Boeckman's NPI number?

The NPI number for Mandy Boeckman is 1124520069. It was assigned to this individual provider in the NPPES registry on March 7, 2018.

Where is Mandy Boeckman located?

Mandy Boeckman practices at 2796 W 500 S, Portland, IN 47371. The listed phone number is (260) 729-3523.

What is Mandy Boeckman's specialty?

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

Is Mandy Boeckman enrolled in Medicare?

Yes. Mandy Boeckman is registered in the Medicare PECOS enrollment system.

What insurance does Mandy Boeckman accept?

Health plans from CareSource list Mandy Boeckman 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.

When was this NPI record last updated?

The NPPES record for Mandy Boeckman was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.