RYLAND BOEHNKE DO
NPI 1780387142
Emergency Medicine in Jackson, MS

Q: What is Ryland Boehnke's NPI number?

The NPI number for Ryland Boehnke is 1780387142. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Q: What is Ryland Boehnke's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryland Boehnke was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 24, 2023PECOS EnrolledAccepts Medicare Assignment

2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2025, Mar 26, 2023 (2 updates tracked since 2023).

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About Ryland Boehnke Do NPPES

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

RYLAND BOEHNKE DO (NPI 1780387142) is an individual emergency medicine provider in Jackson, Mississippi, licensed in Mississippi (35199) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with King's Daughters Medical Center-brookhaven, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1780387142

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameRYLAND BOEHNKECredential: DO

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address8509 W 6th AveKennewick, WA 99336-9440 · (509) 531-0430

Phone(601) 984-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 24, 2023

Last NPPES UpdateJune 2, 20252 updates tracked since enumeration

NPPES CertifiedJune 2, 2025

✔ NPI 1780387142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MS · 35199

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2500 N STATE ST, Jackson, MS 39216

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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

Ryland Boehnke Do 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 ID3274994330

PECOS Enrollment IDI20250717001222

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

King's Daughters Medical Center-Brookhaven

Acute Care Hospitals · Brookhaven, MS

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number250057

Location427 Highway 51 NorthBrookhaven, MS 39601 · Lincoln County

Emergency services Birthing friendly

University Of Mississippi Medical Center- Grenada

Acute Care Hospitals · Grenada, MS

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number250168

Location960 Avent DriveGrenada, MS 38901 · Grenada County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)