CLAIRE BOETTCHER
NPI 1972356541
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since April 11, 2024PECOS Enrolled
2627 RIVERSIDE AVENUE, JACKSONVILLE, FL 32204(904) 308-7372 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2024, May 15, 2024, May 3, 2024 and 1 more (4 updates tracked since 2024).

About Claire Boettcher NPPES

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

CLAIRE BOETTCHER (NPI 1972356541) is an individual student in an organized health care education/training program in Jacksonville, Florida, licensed in Florida (TRN40187) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972356541
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCLAIRE BOETTCHER
Location Address2627 RIVERSIDE AVENUEJacksonville, FL 32204
Mailing Address2627 Riverside AvenueJacksonville, FL 32204
Sole ProprietorNo
Enumeration DateApril 11, 2024
Last NPPES UpdateJuly 9, 20244 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
NPI 1972356541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in FL · TRN40187
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2627 RIVERSIDE AVENUE, Jacksonville, FL 32204

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Claire Boettcher 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.

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 Claire Boettcher's NPI number?

The NPI number for Claire Boettcher is 1972356541. It was assigned to this individual provider in the NPPES registry on April 11, 2024.

Where is Claire Boettcher located?

Claire Boettcher practices at 2627 Riverside Avenue, Jacksonville, FL 32204. The listed phone number is (904) 308-7372.

What is Claire Boettcher's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Claire Boettcher enrolled in Medicare?

Yes. Claire Boettcher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Claire Boettcher was last updated on July 9, 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.