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

DR. DANIEL THEODORE BOEDER
NPI 1669039822
Psychiatry & Neurology - Child & Adolescent Psychiatry in Quincy, IL

Active since May 23, 2019PECOS Enrolled
927 BROADWAY ST, QUINCY, IL 62301(217) 224-4453(217) 224-9383 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 27, 2026, Jun 25, 2024, Jul 12, 2021 and 1 more (4 updates tracked since 2019).

About Dr. Daniel Theodore Boeder NPPES

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

DR. DANIEL THEODORE BOEDER (NPI 1669039822) is an individual child & adolescent psychiatry provider in Quincy, Illinois, licensed in Illinois (036168173) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Southern Illinois University School Of Medicine (2019).

NPPES Registry Identity

NPI1669039822
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. DANIEL THEODORE BOEDER
Location Address927 BROADWAY STQuincy, IL 62301-2719
Mailing Address1005 Broadway StQuincy, IL 62301-2834 · (217) 223-8400 · Fax (217) 277-3960
Phone(217) 224-4453
Fax(217) 224-9383
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2019
Enumeration DateMay 23, 2019
Last NPPES UpdateAugust 27, 20264 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1669039822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in IL · 036168173✔ Licensed in MO · 2025030304
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 036168173 (IL), 2025030304 (MO)
927 BROADWAY ST, Quincy, IL 62301
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1100 Medical DrHannibal, MO 63401-6877 · Phone (573) 221-5250 · Fax (573) 231-3823
Location 2319 E Madison St Fl 3Springfield, IL 62701-1035 · Phone (217) 545-6900 · Fax (217) 585-6893

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel Theodore Boeder is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547596058
PECOS Enrollment IDI20250923003854
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.

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.

JONATHAN WILFORD DO
Family Medicine
927 BROADWAY ST, SUITE 121
QUINCY, IL 62301
Adams County (217) 224-6423
ERIC E. SCHULTZ LCSW
Social Worker (Clinical)
927 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 224-4453
CHARONE TOLBERT MD
Pediatrics
927 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 224-6423
DR. MAGGIE LOUISE SEARIGHT LAMBORN M.D.
Psychiatry & Neurology (Psychiatry)
927 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 224-4453
KATHERINE THOMURE LCSW
Social Worker (Clinical)
927 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 223-8400
DR. AHMED JOUAN
Psychiatry & Neurology (Neurology)
927 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 214-6240
CHAD ALLEN NOGGLE MD
Clinical Neuropsychologist
927 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 224-4453
BLESSING HOSPITAL
Social Worker
927 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 223-8400

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 Daniel Boeder's NPI number?

The NPI number for Daniel Boeder is 1669039822. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Where is Daniel Boeder located?

Daniel Boeder practices at 927 Broadway St, Quincy, IL 62301. The listed phone number is (217) 224-4453.

What is Daniel Boeder's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Daniel Boeder enrolled in Medicare?

Yes. Daniel Boeder is registered in the Medicare PECOS enrollment system.

What insurance does Daniel Boeder accept?

Health plans from Oscar Insurance Company list Daniel Boeder 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 Daniel Boeder was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.