JILL E BOULDEN MD
NPI 1508077520
Family Medicine in Tomah, WI

Q: What is Jill Boulden's NPI number?

The NPI number for Jill Boulden is 1508077520. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Q: What is Jill Boulden's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jill Boulden was last updated on May 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 24, 2007PECOS Enrolled

325 BUTTS AVE, TOMAH, WI 54660(608) 372-5951(608) 372-3436 Get Directions Write a Review

NPPES record last updated: May 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Jill E Boulden Md NPPES

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

JILL E BOULDEN MD (NPI 1508077520) is an individual family medicine provider in Tomah, Wisconsin, licensed in Wisconsin (50635) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508077520

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJILL E BOULDENCredential: MD

Location Address325 BUTTS AVETomah, WI 54660-1412

Mailing AddressPo Box 1510Eau Claire, WI 54702-1510 · (608) 785-0940

Phone(608) 372-5951

Fax(608) 372-3436

Sole ProprietorNo

Enumeration DateMay 24, 2007

Last NPPES UpdateMay 17, 2019

✔ NPI 1508077520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 50635

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.

325 BUTTS AVE, Tomah, WI 54660

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jill E Boulden Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Jill Boulden reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tomah Memorial Hospital Inc

1.6 mi

Critical Access

501 GOPHER DR
Tomah, WI 54660

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1184765240 (Wisconsin)
249 clinicians in this Medicare group

NPI 1992970453 (608) 372-2181

Gundersen Clinic, Ltd.

1.8 mi

Clinic/Center

505 GOPHER DR
Tomah, WI 54660

Reassigned Medicare billing, Wisconsin enrollment
928 clinicians in this Medicare group

NPI 1497708044 (608) 782-7300

Black River Health Inc

28 mi

Medicare Defined Swing Bed Unit

711 W ADAMS ST
Black River Falls, WI 54615

Reassigned Medicare billing, Wisconsin enrollment
227 clinicians in this Medicare group

NPI 1003914011 (715) 284-5361

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54660 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

JULIE ELIZABETH GOODHUE OTR

Occupational Therapist

325 BUTTS AVE
TOMAH, WI 54660

Monroe County (608) 785-0940

MRS. KATHRYN J REEDICH P.T.

Physical Therapist

325 BUTTS AVE
TOMAH, WI 54660

Monroe County (608) 372-5951

SHAREL A MARTIN MD

Emergency Medicine

325 BUTTS AVE
TOMAH, WI 54660

Monroe County (608) 372-5951

LISA C CLARK

Social Worker (Clinical)

325 BUTTS AVE
TOMAH, WI 54660

Monroe County (608) 372-5951

ANDREW LAST MD

Family Medicine

325 BUTTS AVE
TOMAH, WI 54660

Monroe County (608) 372-5999

JANE E WEISS PA

Physician Assistant (Medical)

325 BUTTS AVE
TOMAH, WI 54660

Monroe County (608) 372-5951

MEGAN R GRYGLESKI PA-C

Physician Assistant

325 BUTTS AVE
TOMAH, WI 54660

Monroe County (608) 372-5951

ABBEY ALICE ROSE CNM

Advanced Practice Midwife

325 BUTTS AVE
TOMAH, WI 54660

Monroe County (608) 372-5999

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 Jill Boulden's NPI number?

The NPI number for Jill Boulden is 1508077520. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Jill Boulden located?

Jill Boulden practices at 325 Butts Ave, Tomah, WI 54660. The listed phone number is (608) 372-5951.

What is Jill Boulden's specialty?

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

Is Jill Boulden enrolled in Medicare?

Yes. Jill Boulden is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jill Boulden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jill Boulden reassigns Medicare benefits to 3 organizations: Tomah Memorial Hospital Inc (Tomah, WI), Gundersen Clinic, Ltd. (Tomah, WI) and Black River Health Inc (Black River Falls, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jill Boulden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jill Boulden accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Quartz list Jill Boulden 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.

When was this NPI record last updated?

The NPPES record for Jill Boulden was last updated on May 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.