MRS. BRENDA JOANN BOETGER CRNP
NPI 1861031825
Nurse Practitioner in Erie, PA

Q: What is Brenda Boetger's NPI number?

The NPI number for Brenda Boetger is 1861031825. It was assigned to this individual provider in the NPPES registry on December 22, 2019.

Q: What is Brenda Boetger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Brenda Boetger was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 22, 2019PECOS Enrolled

1910 SASSAFRAS ST STE 200, ERIE, PA 16502(814) 452-7879(814) 455-2628 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2020, Dec 31, 2019, Dec 22, 2019 (3 updates tracked since 2019).

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About Mrs. Brenda Joann Boetger Crnp NPPES

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

MRS. BRENDA JOANN BOETGER CRNP (NPI 1861031825) is an individual nurse practitioner in Erie, Pennsylvania, licensed in Pennsylvania (SP021155) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861031825

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. BRENDA JOANN BOETGERCredential: CRNP

Location Address1910 SASSAFRAS ST STE 200Erie, PA 16502-2716

Mailing Address1910 Sassafras St Ste 200Erie, PA 16502-2716 · (814) 452-7879 · Fax (814) 455-2628

Phone(814) 452-7879

Fax(814) 455-2628

Sole ProprietorNo

Enumeration DateDecember 22, 2019

Last NPPES UpdateSeptember 30, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2020

✔ NPI 1861031825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · SP021155

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Occupational HealthTaxonomy 363LX0106X · License SP021155 (PA)

1910 SASSAFRAS ST STE 200, Erie, PA 16502

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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 (PECOS)

Mrs. Brenda Joann Boetger Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16502 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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 2

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

PAUL J DILL CRNP

Nurse Practitioner

1910 SASSAFRAS ST STE 200
ERIE, PA 16502

Erie County (814) 452-7879

STEPHEN T. DOBOSIEWICZ M.D.

Preventive Medicine (Occupational Medicine)

1910 SASSAFRAS ST STE 200
ERIE, PA 16502

Erie County (814) 452-7879

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 Brenda Boetger's NPI number?

The NPI number for Brenda Boetger is 1861031825. It was assigned to this individual provider in the NPPES registry on December 22, 2019.

Where is Brenda Boetger located?

Brenda Boetger practices at 1910 Sassafras St Ste 200, Erie, PA 16502. The listed phone number is (814) 452-7879.

What is Brenda Boetger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Brenda Boetger enrolled in Medicare?

Yes. Brenda Boetger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brenda Boetger was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.