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ANNA MARIE FUDER-BOEHM APRN
NPI 1619476389
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since February 07, 2018PECOS EnrolledAccepts Medicare Assignment
40 E MITCHELL DR, PHOENIX, AZ 85012(602) 264-4331(602) 264-4095 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 12, 2024, Dec 14, 2023, Jun 27, 2018 (3 updates tracked since 2018).

About Anna Marie Fuder-boehm Aprn NPPES

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

ANNA MARIE FUDER-BOEHM APRN (NPI 1619476389) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (277703) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1619476389
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANNA MARIE FUDER-BOEHMCredential: APRN
Location Address40 E MITCHELL DRPhoenix, AZ 85012-2330
Mailing Address2266 S Dobson Rd Ste 200Mesa, AZ 85202-6412
Phone(602) 264-4331
Fax(602) 264-4095
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 7, 2018
Last NPPES UpdateApril 12, 20243 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1619476389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in AZ · 277703✔ Licensed in NE · 2041
Also ListedNurse PractitionerTaxonomy 363L00000X · License 112408 (NE)
40 E MITCHELL DR, Phoenix, AZ 85012
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, UnitedHealthcare.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

Anna Marie Fuder-boehm Aprn 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 ID9032472477
PECOS Enrollment IDI20230106000578
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

2

Medicare enrollment records show Anna Fuder-boehm reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifewell Behavioral Wellness
0.3 mi
Community/Behavioral Health
202 E EARLL DR, SUITE 200
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 54 clinicians in this Medicare group
NPI 1417050337 (602) 808-2800
Anna Boehm Pmhnp, Bc Psychiatry Plc
14 mi
Psychiatric/Mental Health
2266 S DOBSON RD STE 200
Mesa, AZ 85202
  • Reassigned Medicare billing, Arizona enrollment
NPI 1154175768 (480) 744-0971

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85012 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

TINA LORENE JENSEN BS, BHT
Case Manager/Care Coordinator
40 E MITCHELL DR, SUITE 100 & 200
PHOENIX, AZ 85012
Maricopa County (602) 599-5431
ROGER M MAYORGA APN
Nurse Practitioner (Psychiatric/Mental Health)
40 E MITCHELL DR, SUITE 100 & 200
PHOENIX, AZ 85012
Maricopa County (602) 808-5800
MS. JENNIFER SUZANNE THORSON LPC, CRC, CPRP
Counselor (Professional)
40 E MITCHELL DR, STE. 100
PHOENIX, AZ 85012
Maricopa County (602) 995-7474
LIFEWELL BEHAVIORAL WELLNESS
Community/Behavioral Health
40 E MITCHELL DR
PHOENIX, AZ 85012
Maricopa County (602) 808-2800
ANNA TODOROVA
Case Manager/Care Coordinator
40 E MITCHELL DR
PHOENIX, AZ 85012
Maricopa County (602) 599-5568
BRITTANY RAE PETERSEN MA
Case Manager/Care Coordinator
40 E MITCHELL DR, SUITE 100 & 200
PHOENIX, AZ 85012
Maricopa County (602) 599-5614
EULANLIA DEE CHAVEZ
Case Manager/Care Coordinator
40 E MITCHELL DR, SUITE 100 & 200
PHOENIX, AZ 85012
Maricopa County (602) 599-5633
ESTELLA HOLMES
Case Manager/Care Coordinator
40 E MITCHELL DR
PHOENIX, AZ 85012
Maricopa County (602) 599-5461

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 Anna Fuder-boehm's NPI number?

The NPI number for Anna Fuder-boehm is 1619476389. It was assigned to this individual provider in the NPPES registry on February 7, 2018.

Where is Anna Fuder-boehm located?

Anna Fuder-boehm practices at 40 E Mitchell Dr, Phoenix, AZ 85012. The listed phone number is (602) 264-4331.

What is Anna Fuder-boehm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Anna Fuder-boehm enrolled in Medicare?

Yes. Anna Fuder-boehm 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 Anna Fuder-boehm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Fuder-boehm reassigns Medicare benefits to 2 organizations: Lifewell Behavioral Wellness (Phoenix, AZ) and Anna Boehm Pmhnp, Bc Psychiatry Plc (Mesa, AZ). 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 Anna Fuder-boehm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anna Fuder-boehm accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Anna Fuder-boehm 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 Anna Fuder-boehm was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.