ASHLEY ERIN BOUMGARDEN
NPI 1912751975
Nurse Practitioner - Family in Oak Park, IL
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Ashley Boumgarden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oak Park, IL 60302
- Reassigned Medicare billing, Illinois enrollment
- 221 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.
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.
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.
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.
Which organization bills Medicare for Ashley Boumgarden's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Boumgarden reassigns Medicare benefits to Pcc Community Wellness Center (Oak Park, IL). 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 Ashley Boumgarden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 2 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.
# Ashley Erin Boumgarden · NPI 1912751975
Family physician in Oak Park, Illinois. Individual provider, active in the CMS NPPES registry since April 16, 2024.
## Identity
- **NPI:** 1912751975 (Entity type: Individual)
- **Enumerated:** April 16, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209030519 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 14 LAKE ST, Oak Park, IL 60302-2606
- **Phone:** (708) 383-0113
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pcc Community Wellness Center (NPI 1871516799, Oak Park, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1912751975) · Data from the CMS NPPES public registry.