Andrea Elaine Boedecker, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

DR.0055767 Issued in CO

Practice address

11230 Benton St
Westminster, CO 80020-3275

Phone

(720) 282-8010

NPI assigned

Jun 9, 2009

Last updated

Jan 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• Direct secure messaging: andrea.boedecker.1@11629.direct.athenahealth.com
• Direct secure messaging: andrea.boedecker@hca3.eclinicaldirectplus.com

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.

• Colorado Medical Group, PLLC

  dba United Vein Centers of Centennial, CO

  • Vascular Surgery Physician
  • Englewood, CO
  • NPI 1053928234
  NPD (past)

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1952537557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 MOUNTAIN VIEW AVE",
            "address_2": "SUITE 300",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013178",
            "telephone_number": "720-652-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 BENTON ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800203275",
            "telephone_number": "720-282-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEDECKER",
        "first_name": "ANDREA",
        "middle_name": "ELAINE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0055767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ANDREA.BOEDECKER@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "11230 Benton St",
            "city": "Westminster",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800203275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• BMC Family Chiropractic LLC
• BMT Smiles PLLC (True North Dental Studio)
• Laura Bobadilla Bello, DDS
• John S Bobola
• Kristen Bock, LPC, LCAS, NCC, SEP
• Kevin Thomas Boehnke, DDS
• Lindsey Ann Boesen
• Terrence W Boland, MD
• Frances E Bollig, SA-C
• Helen Bolyard

• Surgery Physician in Westminster, CO
• Providers in Westminster, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.