JACOB PAUL BOEHME PAC
NPI 1215501127
Physician Assistant in Greencastle, PA

Q: What is Jacob Boehme's NPI number?

The NPI number for Jacob Boehme is 1215501127. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Q: What is Jacob Boehme's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Boehme was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 14, 2021PECOS EnrolledAccepts Medicare Assignment

78.53/100

CMS Quality Rating

24 ANTRIM COMMONS DR, GREENCASTLE, PA 17225(717) 593-0512 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2026, May 13, 2025, Jan 24, 2022 and 1 more (4 updates tracked since 2021).

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About Jacob Paul Boehme Pac NPPES

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

JACOB PAUL BOEHME PAC (NPI 1215501127) is an individual physician assistant in Greencastle, Pennsylvania, licensed in Pennsylvania (MA062648) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Wellspan Waynesboro Hospital, and maintains 14 additional practice locations.

NPPES Registry Identity

NPI1215501127

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJACOB PAUL BOEHMECredential: PAC

Location Address24 ANTRIM COMMONS DRGreencastle, PA 17225-1623

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969

Phone(717) 593-0512

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMay 14, 2021

Last NPPES UpdateMay 15, 20264 updates tracked since enumeration

NPPES CertifiedMay 15, 2026

✔ NPI 1215501127 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 PA · MA062648

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

24 ANTRIM COMMONS DR, Greencastle, PA 17225

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Secondary Practice Locations 14

Location 1446 N Reading RdEphrata, PA 17522-9802 · Phone (717) 738-5275

Location 29 Nathan LnAnnville, PA 17003-6500 · Phone (717) 639-3350

Location 396 Sofia Dr Ste 208Shrewsbury, PA 17361-5201 · Phone (717) 812-2400 · Fax (717) 812-3005

Location 446 Walnut Bottom Rd Ste 100Shippensburg, PA 17257-8219 · Phone (717) 477-2764 · Fax (717) 839-6951

Location 5455 S Washington St Ste 12Gettysburg, PA 17325-2516 · Phone (717) 339-2875 · Fax (717) 334-3921

Location 6100 Eisenhower Dr Ste 360Hanover, PA 17331-5241 · Phone (717) 646-4201

Location 7227 Hospital Dr Ste 1Everett, PA 15537-7019 · Phone (717) 860-1362

Location 824 Antrim Commons DrGreencastle, PA 17225-1623 · Phone (717) 593-0512 · Fax (717) 839-6810

Location 9601 E Main StWaynesboro, PA 17268-2332 · Phone (717) 765-5088 · Fax (717) 857-2515

Location 101000 Norland AveChambersburg, PA 17201-4229 · Phone (717) 267-6363

Location 11717 Town Center DriveYork, PA 17408-4824 · Phone (717) 356-4240

Location 122149 S Queen StYork, PA 17403-4845 · Phone (717) 356-4460 · Fax (717) 260-3326

Location 134050 N George Street ExtManchester, PA 17345-9347 · Phone (717) 356-4370 · Fax (717) 260-3316

Location 14101 W Airport RdLititz, PA 17543-9274 · Phone (717) 466-2445 · Fax (717) 466-2447

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

Jacob Paul Boehme Pac 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 ID5890191175

PECOS Enrollment IDI20210913000974

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

67 services49 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

50 services38 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

31 services28 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Wellspan Waynesboro Hospital

Acute Care Hospitals · Waynesboro, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390138

Location501 East Main StWaynesboro, PA 17268 · Franklin County

Emergency services

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390151

Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17225 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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.

78.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.61

Promoting Interoperability

100

Improvement Activities

Cost

53.82

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier11 claims11 services$17.15 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier11 claims11 services$44.71 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

JENA HELEN DAIHL CRNP

Nurse Practitioner (Family)