JESSICA NICOLE BOOZER - NPI 1578113759 - Nurse Practitioner in Pittsfield, IL

Q: 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.

Q: What is Jessica Boozer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Boozer was last updated on May 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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

NPI1578113759

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA NICOLE BOOZER

Location Address320 N MADISON STPittsfield, IL 62363-1412

Mailing Address320 N Madison StPittsfield, IL 62363-1412 · (217) 285-9601

Phone(217) 285-9601

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 18, 2019

Last NPPES UpdateMay 31, 20233 updates tracked since enumeration

NPPES CertifiedMay 31, 2023

✔ NPI 1578113759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209019856

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209019856 (IL)

320 N MADISON ST, Pittsfield, IL 62363

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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

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.

PECOS PAC ID8325370364

PECOS Enrollment IDI20191024001742, I20230519001584

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 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.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 10

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

DR. SEBASTIAN BAGINSKI M.D.

Family Medicine