JENNIFER MADELINE LEE BONI M.D.
NPI 1558570911
Obstetrics & Gynecology in Placerville, CA

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
4212 MISSOURI FLAT RD, PLACERVILLE, CA 95667(530) 621-7700 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2025, Sep 10, 2023, Feb 14, 2022 and 2 more (5 updates tracked since 2019).

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

NPI1558570911
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameJENNIFER MADELINE LEE BONICredential: M.D.
Location Address4212 MISSOURI FLAT RDPlacerville, CA 95667-6269
Mailing Address4212 Missouri Flat RdPlacerville, CA 95667-6269 · (530) 621-7700 · Fax (530) 621-7713
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2003
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 9, 20255 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
NPI 1558570911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CA · C173221
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4212 MISSOURI FLAT RD, Placerville, CA 95667

Other Names 1

Former Name (1)Jennifer Madeline Lee-pentz M.d.

Secondary Practice Location 1

Location 1153 Pioneer Ln Ste BBishop, CA 93514-2517 · Phone (760) 873-2602 · Fax (760) 873-2750

Accepted 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

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.

PECOS PAC ID7113010653
PECOS Enrollment IDI20210720002151
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 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.

New Patient
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

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.

Nurse Practitioner
4212 MISSOURI FLAT RD
PLACERVILLE, CA 95667
Nurse Practitioner (Family)
4212 MISSOURI FLAT RD
PLACERVILLE, CA 95667
Dentist (General Practice)
4212 MISSOURI FLAT RD
PLACERVILLE, CA 95667
Optometrist
4212 MISSOURI FLAT RD
PLACERVILLE, CA 95667
Clinic/Center (Primary Care)
4212 MISSOURI FLAT RD
PLACERVILLE, CA 95667
Family Medicine
4212 MISSOURI FLAT RD
PLACERVILLE, CA 95667
Dentist (General Practice)
4212 MISSOURI FLAT RD
PLACERVILLE, CA 95667
Registered Nurse
4212 MISSOURI FLAT RD
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.

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 with the weekly NPPES data releases published by CMS.