Jessica Boevers, MD

Individual provider Active NPI Family Medicine Physician · Shell Rock, IA

NPI 1962422873 · NPPES record last updated Jul 13, 2007

Key facts

NPI
1962422873
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
33143 (IA)
Practice address
309 S Cherry Street
Shell Rock, IA 50670
Phone
(319) 885-4363
Fax
(319) 885-6583
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 10

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center Inc (234 clinicians)

Practice addresses (Care Compare)

217 20TH St NW
Mercyone Waverly Family Medicine
Waverly, IA 50677-2017
Phone (319) 352-9500

226 Bluebell Rd
Cedar Falls, IA 50613-6328
Phone (319) 575-5800

Hospital & facility affiliations

  • Unitypoint at Home Home health agency · Waterloo, IA · CCN 167147
  • Cedar Valley Hospice Hospice · Waterloo, IA · CCN 161504
  • Mercyone Waterloo Medical Center Hospital · Waterloo, IA · CCN 160067
  • Waverly Health Center Hospital · Waverly, IA · CCN 161339
  • Sartori Memorial Hospital, Inc Hospital · Cedar Falls, IA · CCN 160040
  • CHI Health Bergan Mercy Hospital · Omaha, NE · CCN 280060
  • Allen Hospital Hospital · Waterloo, IA · CCN 160110

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20031229000193 IA Practitioner - Family Practice 1951209048 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc. Current
since May 22, 2006
Accepting new patients
Covenant Medical Center Inc Family Medicine Current
since May 22, 2006
Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients

Locations

751 Main St
Arlington, IA 50606
Phone (563) 633-6965

226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800

2101 Kimball Ave
#14
Waterloo, IA 50702

2055 Kimball Ave
Ste 101
Waterloo, IA 50702
Phone (319) 272-2112

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

217 20th St NW
Waverly, IA 50677
Phone (319) 352-9500

Interoperability endpoints

  • Direct secure messaging: jboevers3930330@direct.trinity-health.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33143 IA Yes

Addresses

Primary practice location

309 S Cherry Street
Shell Rock, IA 50670

Mailing address

2101 Kimball Ave
LL14
Waterloo, IA 50702-5063
Phone (319) 272-1590

Other identifiers

IdentifierTypeStateIssuer
0484303MedicaidIA

Other names

  • Jessica Brant Former name

Other providers in Shell Rock, IA

All providers in Shell Rock, IA · Family Medicine Physician in Iowa

Sources for this page

Verify at the official NPI Registry.