ANDREA D BOECKMAN MD
NPI 1194882514
Obstetrics & Gynecology in Lake Geneva, WI
About Andrea D Boeckman Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA D BOECKMAN MD (NPI 1194882514) is an individual obstetrics & gynecology provider in Lake Geneva, Wisconsin, licensed in Wisconsin (49227) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Mercy Walworth Hospital & Medical Center, and maintains a secondary practice location in Racine.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Andrea D Boeckman Md 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.
Medicare Billing Reassignments
6Medicare enrollment records show Andrea Boeckman reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lake Geneva, WI 53147
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1598718603 (Wisconsin)
- 271 clinicians in this Medicare group
South Milwaukee, WI 53172
- Reassigned Medicare billing, Wisconsin enrollment
- 960 clinicians in this Medicare group
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
- 856 clinicians in this Medicare group
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- 1,343 clinicians in this Medicare group
Park Ridge, IL 60068
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- 4,870 clinicians in this Medicare group
Greenville, SC 29607
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Obhg Wisconsin Sc
- 58 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Walworth Hospital & Medical Center
Critical Access Hospitals · Lake Geneva, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Andrea Boeckman's NPI number?
The NPI number for Andrea Boeckman is 1194882514. It was assigned to this individual provider in the NPPES registry on January 3, 2007.
Where is Andrea Boeckman located?
Andrea Boeckman practices at N2950 State Road 67, Lake Geneva, WI 53147. The listed phone number is (262) 245-0535.
What is Andrea Boeckman's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Andrea Boeckman enrolled in Medicare?
Yes. Andrea Boeckman 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 Andrea Boeckman accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW, MercyCare Health Plans and UnitedHealthcare list Andrea 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.
Is Andrea Boeckman affiliated with any hospitals?
According to CMS data, Andrea Boeckman is affiliated with Mercy Walworth Hospital & Medical Center.
When was this NPI record last updated?
The NPPES record for Andrea Boeckman was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Andrea D Boeckman, MD · NPI 1194882514
Obstetrics & Gynecology physician in Lake Geneva, Wisconsin. Individual provider, active in the CMS NPPES registry since January 3, 2007.
## Identity
- **NPI:** 1194882514 (Entity type: Individual)
- **Enumerated:** January 3, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 49227 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** N2950 STATE ROAD 67, Lake Geneva, WI 53147-2655
- **Phone:** (262) 245-0535 · **Fax:** (262) 245-2248
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Creighton University School Of Medicine, class of 2004
## Record status
- **NPPES last updated:** November 8, 2023
- **Other identifiers:** Medicaid 35343400 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1194882514) · Data from the CMS NPPES public registry.