Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANGELA BOEDEKER CNP
NPI 1659966042
Nurse Practitioner - Gerontology in Circleville, OH

Q: What is Angela Boedeker's NPI number?

The NPI number for Angela Boedeker is 1659966042. It was assigned to this individual provider in the NPPES registry on March 8, 2021. The provider is also known as Angela Boedeker (eberhard) Agnp.

Q: What is Angela Boedeker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Angela Boedeker was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.

Active since March 08, 2021PECOS EnrolledAccepts Medicare Assignment

120 W MAIN ST, CIRCLEVILLE, OH 43113(740) 572-3088 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2026, Sep 21, 2026, Nov 21, 2023 and 1 more (4 updates tracked since 2021).

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About Angela Boedeker Cnp NPPES

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

ANGELA BOEDEKER CNP (NPI 1659966042) is an individual gerontology provider in Circleville, Ohio, licensed in Ohio (APRN.CNP.0028441) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1659966042

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameANGELA BOEDEKERCredential: CNP

Location Address120 W MAIN STCircleville, OH 43113-1654

Mailing Address12175 Heffner RdKingston, OH 45644-9661 · (740) 572-3088

Phone(740) 572-3088

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 8, 2021

Last NPPES UpdateOctober 1, 20264 updates tracked since enumeration

NPPES CertifiedOctober 1, 2026

✔ NPI 1659966042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363LG0600X

License✔ Licensed in OH · APRN.CNP.0028441

Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.0028441 (OH)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APRN.CNP.0028441 (OH)

120 W MAIN ST, Circleville, OH 43113

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Other Names 1

Former Name (1)Angela Boedeker (eberhard) Agnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Angela Boedeker Cnp 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 ID1456707132

PECOS Enrollment IDI20231101001766

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

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

Comprehensive Psychological Services, Ltd.

83 mi

Clinical

845 COUNTY HOUSE LN
Marietta, OH 45750

Reassigned Medicare billing, Ohio enrollment
11 clinicians in this Medicare group

NPI 1831388701 (803) 724-7924

Signify Health, LLC

901 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Ohio enrollment
672 clinicians in this Medicare group

NPI 1689158487 (469) 466-7007

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 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

2,557 services328 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

658 services167 patients

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484

Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.

537 services148 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

122 services122 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

59 services58 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

49 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43113 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 6

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

MR. PHILLIP CALVIN RUTHERFORD LPC

Counselor (Professional)