JENNIFER ERIN BOECKMAN (D.O.) – Allergy & Immunology (Internal Medicine) Physician, NPI 1275822686

JENNIFER ERIN BOECKMAN (D.O.) is a healthcare provider. based in Saint paul, Minnesota. specializing in INTERNAL MEDICINE, ALLERGY/IMMUNOLOGY. They hold the professional credentials D.O.. They hold a License No. 63788 (MN). The NPI Number for JENNIFER ERIN BOECKMAN (D.O.) is 1275822686

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER ERIN BOECKMAN (D.O.)
NPI
1275822686
Phone
(651) 698-0386
Address
565 SNELLING AVE S
Enumeration Date
6 April 2011
Last Update Date
20 November 2025

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
6517020750
Graduation Year
2011 (15 years ago)
PAC ID
8426270877
Group Practice PAC ID
1658268651
Professional Enrollment ID
I20180912001430
Address ID
MN551210000EA3460XEXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Digital endpointsOther names

3,636 INTERNAL MEDICINE in MN

Provider Addresses for JENNIFER ERIN BOECKMAN (D.O.)

  • 565 SNELLING AVE S

    SAINT PAUL, MN 551161525

    Phone: (651) 698-0386

    Fax: (651) 698-0483

    Type: Mailing

  • 215 RADIO DR STE 202

    WOODBURY, MN 551255822

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Type: Mailing

  • 217 RADIO DR

    WOODBURY, MN 551255805

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Type: Location

  • 2651 Hillcrest Dr Ste 302

    Hudson, WI 540169919

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Type: Location

  • 11020 161st Street West

    Lakeville, MN 55044

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Type: Location

  • 3590 Arcade St

    Vadnais Heights, MN 551277135

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Type: Location

  • 3460 Promenade Ave

    Eagan, MN 551234404

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $295.

Total Amount is formed as General ($295) + Research ($0) + Ownership ($0) = $295.

Last reported payment date: 2024-09-23 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($56).

Total Amount

$295

General + Research + Ownership

Payments

19

Total payment records

General Amount

$295

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180912001430IAllergy/ImmunologyMNTBD
I20250305003707IAllergy/ImmunologyWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95165Professional service for preparation and provision of 1 or more antigens22612$0
95117Professional service for multiple injections of allergen19018$0
99214Established patient office or other outpatient visit, 30-39 minutes3025$0
99213Established patient office or other outpatient visit, 20-29 minutes2424$0
95012Test to measure the level of nitric oxide gas2015$0
View full utilization report →

Insurance plans in this area (ZIP 55116)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658268651View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YMN
Otolaryngology, Plastic And Reconstructive SurgeryMN
O T O L A R Y N G O L O G YMN
O T O L A R Y N G O L O G YMN
Physician AssistantMN
Physician AssistantMN
Qualified AudiologistMN
Qualified AudiologistMN
Qualified AudiologistMN
Nurse PractitionerWI

Reviews

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Frequently asked questions

What is the standard ID for JENNIFER ERIN BOECKMAN (D.O.) in the U.S.?
In the U.S., JENNIFER ERIN BOECKMAN (D.O.) is identified by NPI 1275822686.
Should I treat JENNIFER ERIN BOECKMAN (D.O.) as an active provider?
Patients and plans typically see JENNIFER ERIN BOECKMAN (D.O.) as active in the national extract.
What does the directory say JENNIFER ERIN BOECKMAN (D.O.) does?
Insurance directories may phrase it differently, but here JENNIFER ERIN BOECKMAN (D.O.) maps to Allergy & Immunology (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What city is tied to JENNIFER ERIN BOECKMAN (D.O.)?
The directory associates JENNIFER ERIN BOECKMAN (D.O.) with Saint Paul, Minnesota. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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