AUDRA ALEXANDRA BOEHM
NPI 1811452303
Dentist - Oral and Maxillofacial Surgery in Silverdale, WA
About Audra Alexandra Boehm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUDRA ALEXANDRA BOEHM (NPI 1811452303) is an individual oral and maxillofacial surgery provider in Silverdale, Washington, licensed in Washington (MD61663011) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Columbia University College Of Dental Medicine (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Audra Alexandra Boehm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Audra Boehm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Port Orchard, WA 98366
- Reassigned Medicare billing, Washington enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Geisinger Medical Center
Acute Care Hospitals · Danville, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98383 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Audra Boehm's NPI number?
The NPI number for Audra Boehm is 1811452303. It was assigned to this individual provider in the NPPES registry on February 8, 2019.
Where is Audra Boehm located?
Audra Boehm practices at 8745 Pacific Ave NW # 102, Silverdale, WA 98383. The listed phone number is (602) 045-1223.
What is Audra Boehm's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Audra Boehm enrolled in Medicare?
Yes. Audra Boehm is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Audra Boehm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Audra Boehm reassigns Medicare benefits to Tracy R. Johnson, DDS, Ps (Port Orchard, WA). The 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 Audra Boehm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Audra Boehm accept?
Health plans from BEST Life, HRI Dental & Vision, Humana, Paramount and Renaissance Dental and 1 other insurer list Audra 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.
Is Audra Boehm affiliated with any hospitals?
According to CMS data, Audra Boehm is affiliated with Geisinger Medical Center.
When was this NPI record last updated?
The NPPES record for Audra Boehm was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Audra Alexandra Boehm · NPI 1811452303
Oral and Maxillofacial Surgery provider in Silverdale, Washington. Individual provider, active in the CMS NPPES registry since February 8, 2019.
## Identity
- **NPI:** 1811452303 (Entity type: Individual)
- **Enumerated:** February 8, 2019
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** MD61663011 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 8745 PACIFIC AVE NW # 102, Silverdale, WA 98383-8394
- **Phone:** (602) 045-1223
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Tracy R. Johnson, DDS, Ps (NPI 1376718957, Port Orchard, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Columbia University College Of Dental Medicine, class of 2019
## Record status
- **NPPES last updated:** July 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1811452303) · Data from the CMS NPPES public registry.