NPIMap

Individual provider Active NPI

Eric Neil-Jensen Boyum, MD

  • Psychiatry Physician
  • Festus, MO
National Provider Identifier
1093034266
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2023024344 Issued in MO
Practice address
1400 US Highway 61
Festus, MO 63028-4100
Phone
(314) 251-6663
NPI assigned
May 26, 2010
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD-40619 IA
Psychiatry Physician 2084P0800X 2023024344 MO Primary
Child & Adolescent Psychiatry Physician 2084P0804X MD-40619 IA

Addresses

Primary practice location

1400 US Highway 61
Festus, MO 63028-4100

Mailing address

1400 US Highway 61
Festus, MO 63028-4100
Phone (314) 251-6663

Other practice location 1

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6663

Other practice location 2

10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 251-6663

Other practice location 3

851 E 5th St Ste 154
Washington, MO 63090-3136
Phone (314) 251-6663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140319002351 IA Practitioner - Psychiatry 7517107956 Reassigns benefits to 2 organizations
I20250408003834 MO Practitioner - Psychiatry 7517107956 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Washington University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Adult Hospitalists Jefferson LLCGroup PAC ID 8628205598, 58 clinicians

Practice addresses (Care Compare)

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1328

1400 US Hwy 61
Festus, MO 63028-4100
Phone (636) 933-8091

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-40619IAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Aco Clinical Services Inc CurrentSince Jun 2, 2025 Accepting new patients
St. Luke's Methodist Hospital CurrentSince Jan 1, 2015 Accepting new patients
Mercy Clinic Adult Hospitalists- Jefferson, LLC CurrentSince Mar 31, 2025 Accepting new patients
St Luke's Methodist Hospital CurrentSince Jan 1, 2015 Accepting new patients
Community Health Centers of Southeastern Iowa, Inc CurrentSince Nov 20, 2023 Accepting new patients
Community Health Centers of Southeastern Iowa Inc CurrentSince Nov 20, 2023 Accepting new patients
St Anthonys Physician Organization Hospitalist Services, L.C. CurrentSince Mar 31, 2025 Accepting new patients
Mercy Clinic Adult Hospitalists - St. Louis, LLC CurrentSince Mar 31, 2025 Accepting new patients
Mercy Clinic Adult Hospitalists - Washington, LLC CurrentSince Mar 31, 2025 Accepting new patients
Mercy Hospital Jefferson Past Accepting new patients

Locations

400 S Broadway St
Burlington, IA 52601
Phone (319) 752-4000

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

1618 Main St
Keokuk, IA 52632
Phone (319) 524-5734

1706 W Agency Rd
West Burlington, IA 52655
Phone (319) 768-5858

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

10018 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-4412

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075

851 E 5th St
Ste 154
Washington, MO 63090
Phone (314) 251-6663

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1093034266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 61",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284100",
            "telephone_number": "314-251-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 61",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284100",
            "telephone_number": "314-251-6663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 S New Ballas Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418221",
            "country_code": "US",
            "telephone_number": "314-251-6663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10018 Kennerly Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282106",
            "country_code": "US",
            "telephone_number": "314-251-6663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 E 5th St Ste 154",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MO",
            "postal_code": "630903136",
            "country_code": "US",
            "telephone_number": "314-251-6663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYUM",
        "first_name": "ERIC",
        "middle_name": "NEIL-JENSEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-26",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "MD-40619",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2023024344",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IA",
            "license": "MD-40619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

Verify at the official NPI Registry.