ASHLEY ERIN BOUMGARDEN
NPI 1912751975
Nurse Practitioner - Family in Oak Park, IL

Active since April 16, 2024PECOS EnrolledAccepts Medicare Assignment
14 LAKE ST, OAK PARK, IL 60302(708) 383-0113 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ashley Erin Boumgarden NPPES

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

ASHLEY ERIN BOUMGARDEN (NPI 1912751975) is an individual family provider in Oak Park, Illinois, licensed in Illinois (209030519) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1912751975
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASHLEY ERIN BOUMGARDEN
Location Address14 LAKE STOak Park, IL 60302-2606
Mailing Address1022 S Scoville AveOak Park, IL 60304-2128 · (630) 913-1195
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 16, 2024
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
NPI 1912751975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209030519
Also ListedRegistered NurseTaxonomy 163W00000X · License 041462308 (IL)
14 LAKE ST, Oak Park, IL 60302

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

Ashley Erin Boumgarden 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 ID1658856802
PECOS Enrollment IDI20260326001270
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 60302 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Family Medicine
14 LAKE ST
OAK PARK, IL 60302
Social Worker (Clinical)
14 LAKE ST
OAK PARK, IL 60302
Counselor (Professional)
14 LAKE ST
OAK PARK, IL 60302
Family Medicine
14 LAKE ST
OAK PARK, IL 60302
Family Medicine
14 LAKE ST
OAK PARK, IL 60302
Social Worker (Clinical)
14 LAKE ST
OAK PARK, IL 60302
Social Worker (Clinical)
14 LAKE ST
OAK PARK, IL 60302
Family Medicine
14 LAKE ST
OAK PARK, IL 60302

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 Ashley Boumgarden's NPI number?

The NPI number for Ashley Boumgarden is 1912751975. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Where is Ashley Boumgarden located?

Ashley Boumgarden practices at 14 Lake St, Oak Park, IL 60302. The listed phone number is (708) 383-0113.

What is Ashley Boumgarden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ashley Boumgarden enrolled in Medicare?

Yes. Ashley Boumgarden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ashley Boumgarden was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.