JENNIFER MADELINE LEE BONI M.D.
NPI 1558570911
Obstetrics & Gynecology in Placerville, CA
About Jennifer Madeline Lee Boni M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER MADELINE LEE BONI M.D. (NPI 1558570911) is an individual obstetrics & gynecology provider in Placerville, California, licensed in California (C173221) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bishop, and is a graduate of University Of Minnesota Medical School (2003).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jennifer Madeline Lee Boni M.d. 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.
Medicare Billing Reassignments
7Medicare enrollment records show Jennifer Boni reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Placerville, CA 95667
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Sierra Hills Womens Center And Advanced Gynecology
Sacramento, CA 95816
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Sutter Valley Medical Foundation
- 3,056 clinicians in this Medicare group
Orange, CA 95819
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Obstetrix Medical Group Of Sacramento PC
- 31 clinicians in this Medicare group
Sacramento, CA 95817
- Reassigned Medicare billing, California enrollment
- 2,570 clinicians in this Medicare group
Chico, CA 95926
- Reassigned Medicare billing, California enrollment
- 184 clinicians in this Medicare group
Bishop, CA 93514
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Northern Inyo Healthcare District
- Also billed through NPI 1922198712 (California)
- 131 clinicians in this Medicare group
Greenville, SC 29607
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Obhg California PC
- 711 clinicians in this Medicare group
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 95667 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PLACERVILLE, CA 95667
PLACERVILLE, CA 95667
PLACERVILLE, CA 95667
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 Jennifer Boni's NPI number?
The NPI number for Jennifer Boni is 1558570911. It was assigned to this individual provider in the NPPES registry on May 22, 2007. The provider is also known as Jennifer Madeline Lee-Pentz M.D..
Where is Jennifer Boni located?
Jennifer Boni practices at 4212 Missouri Flat Rd, Placerville, CA 95667. The listed phone number is (530) 621-7700.
What is Jennifer Boni's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Jennifer Boni enrolled in Medicare?
Yes. Jennifer Boni 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.
Which organizations bill Medicare for Jennifer Boni's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Boni reassigns Medicare benefits to 7 organizations: Sierra Hills Women's Center And Advanced Gynecology (Placerville, CA), Sutter Medical Foundation (Sacramento, CA), Obstetrix Medical Group Of Sacramento, P.C. (Orange, CA), Regents Of The Univ Of Ca (Sacramento, CA), Enloe Medical Center (Chico, CA) and 2 more organizations, listed in the Medicare section above. 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 Jennifer Boni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Boni accept?
Health plans from Providence Health Plan list Jennifer Boni 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 Jennifer Boni was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Jennifer Madeline Lee Boni, M.D. · NPI 1558570911
Obstetrics & Gynecology physician in Placerville, California. Individual provider, active in the CMS NPPES registry since May 22, 2007.
## Identity
- **NPI:** 1558570911 (Entity type: Individual)
- **Enumerated:** May 22, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** C173221 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4212 MISSOURI FLAT RD, Placerville, CA 95667-6269
- **Phone:** (530) 621-7700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Sierra Hills Women's Center And Advanced Gynecology (NPI 1629896766, Placerville, CA); Sutter Medical Foundation (NPI 1942524095, Sacramento, CA); Obstetrix Medical Group Of Sacramento, P.C. (NPI 1144593310, Orange, CA); Regents Of The Univ Of Ca (NPI 1447423959, Sacramento, CA); Enloe Medical Center (NPI 1477975613, Chico, CA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2003
## Record status
- **NPPES last updated:** July 9, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1558570911) · Data from the CMS NPPES public registry.