Jeffrey E Boatman, MSN, RN

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

118805 Issued in MO

Practice address

1201 Bellevue Ave
Saint Louis, MO 63117-1701

Phone

(314) 647-4488

Fax

(314) 647-6305

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

23.35 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

77.85

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

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

• J Boatman LLC

  • Adult Psychiatric/Mental Health Registered Nurse
  • Creve Coeur, MO
  • NPI 1003112558
  Medicare reassignment NPD Authorized official
• Van Luven McKnight Psychological Associates

  • Social Worker
  • Creve Coeur, MO
  • NPI 1457098816
  Medicare reassignment NPD

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1265570592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CEDAR PLAZA PKWY",
            "address_2": "SUITE 350",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283854",
            "telephone_number": "314-843-4333",
            "fax_number": "314-843-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BELLEVUE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171701",
            "telephone_number": "314-647-4488",
            "fax_number": "314-647-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATMAN",
        "first_name": "JEFFREY",
        "middle_name": "E",
        "credential": "MSN, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MO",
            "license": "118805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423840123",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shana Blumenthal, LCSW
• Erica C Blustein, MD
• Kelly Blythe, RN
• Monica Lynn Board, RN, FNP
• Anna Kathryn Boatman, MGC
• Michele Boatright
• Maria del Rosario Bobadilla, LSCW
• Neil Alan Bobenhouse, DO, MHA
• Anna Lynn Bocek
• Abigail Pearl Bochantin, RBT

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.

Verify at the official NPI Registry.