JESSICA NICOLE BOOZER
NPI 1578113759
Nurse Practitioner - Family in Pittsfield, IL
About Jessica Nicole Boozer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA NICOLE BOOZER (NPI 1578113759) is an individual family provider in Pittsfield, Illinois, licensed in Illinois (209019856) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
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
Jessica Nicole Boozer 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 Reassignment
Medicare enrollment records show Jessica Boozer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pittsfield, IL 62363
- Reassigned Medicare billing, Illinois enrollment
- 252 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 62363 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PITTSFIELD, IL 62363
PITTSFIELD, IL 62363
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 Jessica Boozer's NPI number?
The NPI number for Jessica Boozer is 1578113759. It was assigned to this individual provider in the NPPES registry on September 18, 2019.
Where is Jessica Boozer located?
Jessica Boozer practices at 320 N Madison St, Pittsfield, IL 62363. The listed phone number is (217) 285-9601.
What is Jessica Boozer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessica Boozer enrolled in Medicare?
Yes. Jessica Boozer 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 organization bills Medicare for Jessica Boozer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Boozer reassigns Medicare benefits to Quincy Physicians & Surgeons Clinic, PLLC (Pittsfield, IL). The 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 Jessica Boozer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jessica Boozer was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jessica Nicole Boozer · NPI 1578113759
Family physician in Pittsfield, Illinois. Individual provider, active in the CMS NPPES registry since September 18, 2019.
## Identity
- **NPI:** 1578113759 (Entity type: Individual)
- **Enumerated:** September 18, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209019856 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 320 N MADISON ST, Pittsfield, IL 62363-1412
- **Phone:** (217) 285-9601
## 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:** Quincy Physicians & Surgeons Clinic, PLLC (NPI 1356315899, Pittsfield, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1578113759) · Data from the CMS NPPES public registry.