DR. JERRI ANNE BOUGHAN DMD
NPI 1982719431
Dentist in Lawrenceville, IL

Q: What is Jerri Boughan's NPI number?

The NPI number for Jerri Boughan is 1982719431. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Q: What is Jerri Boughan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jerri Boughan was last updated on June 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 August 21, 2006PECOS Enrolled

2300 JAMES ST, LAWRENCEVILLE, IL 62439(618) 943-5664(618) 943-4037 Get Directions Write a Review

NPPES record last updated: June 2, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jerri Anne Boughan Dmd NPPES

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

DR. JERRI ANNE BOUGHAN DMD (NPI 1982719431) is an individual dentist in Lawrenceville, Illinois, licensed in Illinois (019024088) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982719431

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. JERRI ANNE BOUGHANCredential: DMD

Location Address2300 JAMES STLawrenceville, IL 62439-2089

Mailing Address2300 James StLawrenceville, IL 62439-2089 · (618) 943-5664 · Fax (618) 943-4037

Phone(618) 943-5664

Fax(618) 943-4037

Sole ProprietorNo

Enumeration DateAugust 21, 2006

Last NPPES UpdateJune 2, 2015

✔ NPI 1982719431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019024088

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2300 JAMES ST, Lawrenceville, IL 62439

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, HRI Dental & Vision, Paramount and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerri Anne Boughan Dmd 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 62439 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jerri Boughan's NPI number?

The NPI number for Jerri Boughan is 1982719431. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Jerri Boughan located?

Jerri Boughan practices at 2300 James St, Lawrenceville, IL 62439. The listed phone number is (618) 943-5664.

What is Jerri Boughan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jerri Boughan enrolled in Medicare?

Yes. Jerri Boughan is registered in the Medicare PECOS enrollment system.

What insurance does Jerri Boughan accept?

Health plans from BEST Life, HRI Dental & Vision, Paramount and UnitedHealthcare list Jerri Boughan 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.

When was this NPI record last updated?

The NPPES record for Jerri Boughan was last updated on June 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.