Individual provider Active NPI

Jenna Sandra Wong-Boyter, DO

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1437619541
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2024046596 Issued in MO
Practice address
1319 Leavenworth St
Omaha, NE 68102-3215
Phone
(402) 552-3222
Fax
(402) 552-2172
NPI assigned
Mar 23, 2019
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2024046596 MO Primary

Addresses

Primary practice location

1319 Leavenworth St
Omaha, NE 68102-3215

Mailing address

1319 Leavenworth St
Omaha, NE 68102-3215
Phone (402) 552-3222

Other practice location 1

151 Johnstown Dr
Rogersville, MO 65742-9366
Phone (417) 269-2252

Other practice location 2

3805 S Kansas Expy Ste B
Springfield, MO 65807-6989
Phone (417) 269-0269

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220811001879 NE Practitioner - Family Practice 5890023634 Reassigns benefits to 1 organization
I20250412000353 MO Practitioner - Family Practice 5890023634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 5799787784, 240 clinicians

Practice addresses (Care Compare)

3805 S Kansas Expy B
Coxhealth Center Chesterfield
Springfield, MO 65807-6989
Phone (417) 269-0269

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2642NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Unmc Physicians CurrentSince Jul 14, 2022 Accepting new patients
Lester E Cox Medical Centers Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients

Locations

3805 S Kansas Expy
Ste B
Springfield, MO 65807
Phone (417) 269-0269

2510 Bellevue Medical Center Dr
Ste 200
Bellevue, NE 68123
Phone (402) 595-1978

1319 Leavenworth St
Omaha, NE 68102
Phone (402) 552-2050

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

Organizations & group practices 4

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 4

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": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1437619541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 LEAVENWORTH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681023215",
            "telephone_number": "402-552-3222",
            "fax_number": "402-552-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 LEAVENWORTH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681023215",
            "telephone_number": "402-552-3222",
            "fax_number": "402-552-2172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Johnstown Dr",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "MO",
            "postal_code": "657429366",
            "country_code": "US",
            "telephone_number": "417-269-2252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3805 S Kansas Expy Ste B",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658076989",
            "country_code": "US",
            "telephone_number": "417-269-0269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG-BOYTER",
        "first_name": "JENNA",
        "middle_name": "SANDRA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-23",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2024046596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.