JACOB ANDREW BOEHME OD
NPI 1942801907
Optometrist - Pediatrics in Memphis, TN
About Jacob Andrew Boehme Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB ANDREW BOEHME OD (NPI 1942801907) is an individual pediatrics provider in Memphis, Tennessee, licensed in Tennessee (3656) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS, is affiliated with University Of Iowa Hospital & Clinics, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
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
Jacob Andrew Boehme Od 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 Jacob Boehme reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Centerville, IA 52544
- Reassigned Medicare billing, Iowa enrollment
- 2,190 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.
University Of Iowa Hospital & Clinics
Acute Care Hospitals · Iowa City, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38104 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 Jacob Boehme's NPI number?
The NPI number for Jacob Boehme is 1942801907. It was assigned to this individual provider in the NPPES registry on November 5, 2020.
Where is Jacob Boehme located?
Jacob Boehme practices at 1245 Madison Ave, Memphis, TN 38104. The listed phone number is (901) 722-3200.
What is Jacob Boehme's specialty?
The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.
Is Jacob Boehme enrolled in Medicare?
Yes. Jacob Boehme 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 Jacob Boehme's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Boehme reassigns Medicare benefits to State University Of Iowa (Centerville, IA). 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 Jacob Boehme's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Boehme accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Sanford Health Plan and 2 other insurers list Jacob Boehme 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 Jacob Boehme affiliated with any hospitals?
According to CMS data, Jacob Boehme is affiliated with University Of Iowa Hospital & Clinics.
When was this NPI record last updated?
The NPPES record for Jacob Boehme was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Jacob Andrew Boehme, OD · NPI 1942801907
Pediatrics provider in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since November 5, 2020.
## Identity
- **NPI:** 1942801907 (Entity type: Individual)
- **Enumerated:** November 5, 2020
- **Primary specialty:** Optometrist - Pediatrics · taxonomy 152WP0200X
- **State license:** 3656 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 1245 MADISON AVE, Memphis, TN 38104-2211
- **Phone:** (901) 722-3200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** State University Of Iowa (NPI 1700835865, Centerville, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 31, 2025
- **Other identifiers:** Medicaid Q063630 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1942801907) · Data from the CMS NPPES public registry.