NPIMap

Individual provider Active NPI

Nancy Ann Boelter, M.D.

  • Family Medicine Physician
  • Marion, IA
National Provider Identifier
1629015177
Registry record updated Oct 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32415 Issued in IA
Practice address
3701 Katz Dr
Marion, IA 52302-3871
Phone
(319) 369-0722
Fax
(319) 362-8574
NPI assigned
Jun 1, 2006
Last updated
Oct 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2014

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 32415 IA Primary

Addresses

Primary practice location

3701 Katz Dr
Marion, IA 52302-3871

Mailing address

3701 Katz Dr
P O Box 260
Marion, IA 52302-3871
Phone (319) 369-0722

Other identifiers 2

IdentifierTypeStateIssuer
080182348OtherIARAILROAD MEDICARE
0183731MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101217000910 IA Practitioner - Family Practice 0941498810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Physician Associates IncGroup PAC ID 1355242496, 103 clinicians

Practice addresses (Care Compare)

1790 Blairs Ferry Rd
Hiawatha, IA 52233-2033
Phone (319) 378-8362

3701 Katz Dr
Marion, IA 52302-3871
Phone (319) 377-3174

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32415IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Care Management, Inc Family Medicine CurrentSince Mar 28, 2014 Accepting new patients
Mercy Physician Associates, Inc Family Medicine Current Accepting new patients
Mercy Care Management, Inc Family Medicine CurrentSince Mar 28, 2014 Accepting new patients
Mercy Physician Associates, Inc Family Medicine CurrentSince Mar 28, 2014 Accepting new patients
Mercy Physician Associates Inc Family Medicine CurrentSince Mar 28, 2014 Accepting new patients
Mercy Physician Associates, Inc Family Medicine Past Accepting new patients
Iowa Physicians Clinic Medical Foundation Family Medicine Past Accepting new patients

Locations

5264 Council St NE
Ste 100
Cedar Rapids, IA 52402
Phone (319) 221-8444

1790 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 378-8362

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

3701 Katz Dr
Marion, IA 52302
Phone (319) 373-3022

Interoperability endpoints

  • Direct secure messaging: nancy.boelter.1@17228.direct.athenahealth.com

Organizations & group practices 7

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412467200000",
    "number": "1629015177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 KATZ DR",
            "address_2": "P O BOX 260",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023871",
            "telephone_number": "319-369-0722",
            "fax_number": "319-362-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 KATZ DR",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023871",
            "telephone_number": "319-369-0722",
            "fax_number": "319-362-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOELTER",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2014-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "32415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080182348",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0183731",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IA

Sources for this page

Verify at the official NPI Registry.