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CAROL A BOELTER MD
NPI 1417964222
Family Medicine in Lincoln, NE

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
2200 S 40TH ST, STE 104, LINCOLN, NE 68506(402) 483-6000(402) 483-6106 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carol A Boelter Md NPPES

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

CAROL A BOELTER MD (NPI 1417964222) is an individual family medicine provider in Lincoln, Nebraska, licensed in Nebraska (21489) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1999).

NPPES Registry Identity

NPI1417964222
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCAROL A BOELTERCredential: MD
Location Address2200 S 40TH ST, STE 104Lincoln, NE 68506-2407
Mailing Address7001 A St, Ste 200Lincoln, NE 68510-4205 · (402) 421-0896 · Fax (402) 421-0945
Phone(402) 483-6000
Fax(402) 483-6106
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1999
Enumeration DateAugust 2, 2006
Last NPPES UpdateApril 9, 2020
NPPES CertifiedApril 9, 2020
✔ NPI 1417964222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · 21489
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2200 S 40TH ST, Lincoln, NE 68506
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Other Names 1

Other Name (5)Carol A Wilson Md

Other Identifiers 3

Other01-03334NE · Uhc
Other24583NE · Midland's Choice
Other00210NE · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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

Carol A Boelter 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 ID1951441484
PECOS Enrollment IDI20091215000039
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 12

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.
232 services137 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.
115 services72 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.
65 services52 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
55 services55 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
30 services30 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.
27 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Chi Health St. Elizabeth

Acute Care Hospitals · Lincoln, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280020
Location555 South 70th StLincoln, NE 68510 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68506 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$168.52 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 5

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

BOSHRA MOHAMMED RIDA M.D.
Family Medicine
2200 S 40TH ST, SUITE 104
LINCOLN, NE 68506
Lancaster County (402) 483-6000
MRS. SHAWNA MARIE GARITO APRN
Nurse Practitioner (Family)
2200 S 40TH ST, SUITE 102
LINCOLN, NE 68506
Lancaster County (402) 413-0717
MRS. ANGELA K MORAN MANZITTO PA
Physician Assistant (Medical)
2200 S 40TH ST, SUITE 104
LINCOLN, NE 68506
Lancaster County (402) 483-6000
SUSAN L JOHNSON MD
Family Medicine
2200 S 40TH ST, STE 104
LINCOLN, NE 68506
Lancaster County (402) 483-6000
THE PHYSICIAN NETWORK
Durable Medical Equipment & Medical Supplies
2200 S 40TH ST, SUITE 101
LINCOLN, NE 68506
Lancaster County (402) 486-3333

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 Carol Boelter's NPI number?

The NPI number for Carol Boelter is 1417964222. It was assigned to this individual provider in the NPPES registry on August 2, 2006. The provider is also known as Carol A Wilson MD.

Where is Carol Boelter located?

Carol Boelter practices at 2200 S 40th St Ste 104, Lincoln, NE 68506. The listed phone number is (402) 483-6000.

What is Carol Boelter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carol Boelter enrolled in Medicare?

Yes. Carol Boelter 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 Carol Boelter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Carol Boelter 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 Carol Boelter affiliated with any hospitals?

According to CMS data, Carol Boelter is affiliated with Bryan Medical Center and Chi Health St. Elizabeth.

When was this NPI record last updated?

The NPPES record for Carol Boelter was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.