Individual provider Active NPI

Jacob Paul Boehme, PAC

  • Physician Assistant
  • Greencastle, PA
National Provider Identifier
1215501127
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA062648 Issued in PA
Practice address
24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone
(717) 593-0512
NPI assigned
May 14, 2021
Last updated
May 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA062648 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

24 Antrim Commons Dr
Greencastle, PA 17225-1623

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

2149 S Queen St
York, PA 17403-4845
Phone (717) 356-4460

Other practice location 2

717 Town Center Drive
York, PA 17408-4824
Phone (717) 356-4240

Other practice location 3

446 N Reading Rd
Ephrata, PA 17522-9802
Phone (717) 738-5275

Other practice location 4

9 Nathan Ln
Annville, PA 17003-6500
Phone (717) 639-3350

Other practice location 5

4050 N George Street Ext
Manchester, PA 17345-9347
Phone (717) 356-4370

Other practice location 6

101 W Airport Rd
Lititz, PA 17543-9274
Phone (717) 466-2445

Other practice location 7

96 Sofia Dr Ste 208
Shrewsbury, PA 17361-5201
Phone (717) 812-2400

Other practice location 8

1000 Norland Ave
Chambersburg, PA 17201-4229
Phone (717) 267-6363

Other practice location 9

46 Walnut Bottom Rd Ste 100
Shippensburg, PA 17257-8219
Phone (717) 477-2764

Other practice location 10

455 S Washington St Ste 12
Gettysburg, PA 17325-2516
Phone (717) 339-2875

Other practice location 11

100 Eisenhower Dr Ste 360
Hanover, PA 17331-5241
Phone (717) 646-4201

Other practice location 12

227 Hospital Dr Ste 1
Everett, PA 15537-7019
Phone (717) 860-1362

Other practice location 13

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 593-0512

Other practice location 14

601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 765-5088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210913000974 PA Practitioner - Physician Assistant 5890191175 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1000 Norland Ave
Chambersburg, PA 17201-4229
Phone (717) 267-6363

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 255-0157

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

601 E Main St
Waynesboro, PA 17268-2332

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Jul 21, 2021 Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 1, 2022 Accepting new patients
Upmc Community Medicine Inc CurrentSince Jul 21, 2021 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 1, 2022 Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Wellspan Medical Group PastSince Oct 5, 2025 Accepting new patients
Wellspan Medical Group PastSince Apr 1, 2020 Accepting new patients

Locations

9 Nathan Ln
Annville, PA 17003
Phone (717) 639-3350

118 S Anderson St
Ste 1
Bedford, PA 15522
Phone (814) 623-2146

1000 Norland Ave
Chambersburg, PA 17201
Phone (717) 267-6363

446 N Reading Rd
Ephrata, PA 17522
Phone (717) 738-4334

227 Hospital Dr
#1
Everett, PA 15537
Phone (814) 623-9095

249 Hospital Dr
Everett, PA 15537
Phone (814) 623-1166

455 S Washington St
Ste 12
Gettysburg, PA 17325
Phone (717) 334-1800

24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512

100 Eisenhower Dr
Ste 360
Hanover, PA 17331
Phone (717) 646-4201

101 W Airport Rd
Lititz, PA 17543
Phone (717) 466-2445

4050 N George Street Ext
Manchester, PA 17345
Phone (717) 356-4370

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

46 Walnut Bottom Rd
#100
Shippensburg, PA 17257
Phone (717) 477-2764

96 Sofia Dr
Ste 208
Shrewsbury, PA 17361
Phone (717) 812-2400

601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085

1600 S George St
York, PA 17403
Phone (717) 848-3615

2149 S Queen St
York, PA 17403
Phone (717) 356-4460

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

717 Town Center Dr
York, PA 17408
Phone (717) 356-4240

Interoperability endpoints

  • Direct secure messaging: jboehme464936@wellspan.direct-ci.com

Organizations & group practices 12

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 7

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": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1215501127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ANTRIM COMMONS DR",
            "city": "GREENCASTLE",
            "state": "PA",
            "postal_code": "172251623",
            "telephone_number": "717-593-0512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2149 S Queen St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174034845",
            "country_code": "US",
            "telephone_number": "717-356-4460",
            "fax_number": "717-260-3326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 Town Center Drive",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174084824",
            "country_code": "US",
            "telephone_number": "717-356-4240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "446 N Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229802",
            "country_code": "US",
            "telephone_number": "717-738-5275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Nathan Ln",
            "address_purpose": "LOCATION",
            "city": "Annville",
            "state": "PA",
            "postal_code": "170036500",
            "country_code": "US",
            "telephone_number": "717-639-3350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4050 N George Street Ext",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "PA",
            "postal_code": "173459347",
            "country_code": "US",
            "telephone_number": "717-356-4370",
            "fax_number": "717-260-3316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175439274",
            "country_code": "US",
            "telephone_number": "717-466-2445",
            "fax_number": "717-466-2447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96 Sofia Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "PA",
            "postal_code": "173615201",
            "country_code": "US",
            "telephone_number": "717-812-2400",
            "fax_number": "717-812-3005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Norland Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172014229",
            "country_code": "US",
            "telephone_number": "717-267-6363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46 Walnut Bottom Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172578219",
            "country_code": "US",
            "telephone_number": "717-477-2764",
            "fax_number": "717-839-6951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 S Washington St Ste 12",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252516",
            "country_code": "US",
            "telephone_number": "717-339-2875",
            "fax_number": "717-334-3921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Eisenhower Dr Ste 360",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173315241",
            "country_code": "US",
            "telephone_number": "717-646-4201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 Hospital Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "PA",
            "postal_code": "155377019",
            "country_code": "US",
            "telephone_number": "717-860-1362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Antrim Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-593-0512",
            "fax_number": "717-839-6810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-765-5088",
            "fax_number": "717-857-2515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOEHME",
        "first_name": "JACOB",
        "middle_name": "PAUL",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-14",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA062648",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greencastle, PA

Sources for this page

Verify at the official NPI Registry.