Active NPI
Jacob Paul Boehme, PAC
- Physician Assistant
- Greencastle, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA062648
- Practice address
- 24 Antrim Commons Dr
Greencastle, PA 17225-1623 - Phone
- (717) 593-0512
- NPI assigned
- May 14, 2021
- Last updated
- May 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Community Medcine Inc | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Upmc Community Medicine Inc | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Wellspan Medical Group | Past | Accepting new patients | |
| Wellspan Medical Group | Past | 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
- 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.
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
dba Stull, Jarvis and Spinola Internal Medicine Associates - UPMC
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1558976092
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Urgent Care Clinic/Center
- Franklin, PA
- NPI 1619381456
-
dba Hermitage Family Practice - UPMC
- Family Medicine Physician
- Hermitage, PA
- NPI 1023806676
-
dba Pennwood Family Medicine UPMC
- Family Medicine Physician
- Everett, PA
- NPI 1326174475
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba WellSpan Urgent Care
- Urgent Care Clinic/Center
- Hanover, PA
- NPI 1396211686
-
dba WellSpan Urgent Care
- Urgent Care Clinic/Center
- Annville, PA
- NPI 1467072553
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1215060157
Hospital
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1669523320
Hospital
-
dba WellSpan Chambersburg Hospital
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1952452617
Hospital
-
dba WellSpan Waynesboro Hospital
- Clinic/Center
- Fayetteville, PA
- NPI 1306989561
Hospital
-
dba WellSpan Waynesboro Hospital
- General Acute Care Hospital
- Waynesboro, PA
- NPI 1821091059
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.