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MS. MILDRED D. BOETTCHER APN
NPI 1245321538
Nurse Practitioner in Philadelphia, PA

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
34TH AND CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 590-3630(215) 590-3606 Get Directions Write a Review

NPPES record last updated: August 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Mildred D. Boettcher Apn NPPES

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

MS. MILDRED D. BOETTCHER APN (NPI 1245321538) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (TP004267N) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1245321538
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. MILDRED D. BOETTCHERCredential: APN
Location Address34TH AND CIVIC CENTER BLVDPhiladelphia, PA 19104
Mailing Address34th And Civic Center BlvdPhiladelphia, PA 19104 · (215) 590-3630 · Fax (215) 590-3606
Phone(215) 590-3630
Fax(215) 590-3606
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateSeptember 28, 2006
Last NPPES UpdateAugust 7, 2008
✔ NPI 1245321538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · TP004267N
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License TP004267N (PA)
34TH AND CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Identifiers 3

Medicare PIN004708T34
Medicaid8668809NJ
Medicare UPINS96299

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

Ms. Mildred D. Boettcher Apn 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 ID6204254352
PECOS Enrollment IDI20200922001400
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 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

DONNA M MCDONALD-MCGINN MS, CGC
Genetic Counselor, MS
34TH AND CIVIC CENTER BLVD, RM 8C05
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2920
ELIZABETH TURNER PHD
Psychologist
34TH AND CIVIC CENTER BLVD, GASTROENTEROLOGY DEPARTMENT
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
CATHERINE TIMKO CRNP
Nurse Practitioner (Primary Care)
34TH AND CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (267) 426-9298
MATTHEW STEVENSON LCSW
Social Worker (Clinical)
34TH AND CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
MS. KERRY SHIELDS RN,PCCNP
Nurse Practitioner (Pediatrics, Critical Care)
34TH AND CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
IRIS PALTIN PHD
Clinical Neuropsychologist
34TH AND CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
CHILDREN'S HOSPITAL OF PHILADELPHIA
General Acute Care Hospital (Children)
34TH AND CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-9182
CHILDRENS HOSPITAL OF PHILADELPHIA
General Acute Care Hospital (Children)
34TH AND CIVIC CENTER BLVD, PARC BUSINESS SVCS
PHILADELPHIA, PA 19104
Philadelphia County (267) 426-5722

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 Mildred Boettcher's NPI number?

The NPI number for Mildred Boettcher is 1245321538. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Mildred Boettcher located?

Mildred Boettcher practices at 34th And Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-3630.

What is Mildred Boettcher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mildred Boettcher enrolled in Medicare?

Yes. Mildred Boettcher 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 Mildred Boettcher was last updated on August 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.