ANDREA D BOECKMAN MD
NPI 1194882514
Obstetrics & Gynecology in Lake Geneva, WI

Q: 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.

Q: What is Andrea Boeckman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Boeckman was last updated on November 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 03, 2007PECOS EnrolledAccepts Medicare Assignment

N2950 STATE ROAD 67, LAKE GENEVA, WI 53147(262) 245-0535(262) 245-2248 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2023, May 10, 2023, Jun 8, 2022 (3 updates tracked since 2022).

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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 is a graduate of Creighton University School Of Medicine (2004).

NPPES Registry Identity

NPI1194882514

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameANDREA D BOECKMANCredential: MD

Location AddressN2950 STATE ROAD 67Lake Geneva, WI 53147-2655

Mailing Address3821 Spring StreetRacine, WI 53405-1667 · (262) 687-8460 · Fax (262) 687-3906

Phone(262) 245-0535

Fax(262) 245-2248

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2004

Enumeration DateJanuary 3, 2007

Last NPPES UpdateNovember 8, 20233 updates tracked since enumeration

NPPES CertifiedNovember 8, 2023

✔ NPI 1194882514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in WI · 49227

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

N2950 STATE ROAD 67, Lake Geneva, WI 53147

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Other Identifiers 1

Medicaid35343400WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW and more.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

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.

PECOS PAC ID2365518073

PECOS Enrollment IDI20080903000664

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.

Mercy Walworth Hospital & Medical Center

Critical Access Hospitals · Lake Geneva, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521357

LocationN2950 State Road 67Lake Geneva, WI 53147 · Walworth County

Emergency services Birthing friendly

Physician 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.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

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 20

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

JULIE A RICE LPC

Counselor (Professional)