JACOB PAUL BOEHME (PAC) – Physician Assistant, NPI 1215501127
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
Provider Addresses for JACOB PAUL BOEHME (PAC)
108 E WOOD ST
MC CONNELLSBURG, PA 172339526
Phone: (717) 860-1362
Type: Mailing
227 HOSPITAL DR STE 1
EVERETT, PA 155377019
Phone: (717) 860-1362
Type: Location
227 Hospital Dr Ste 1
Everett, PA 155377019
Phone: (717) 860-1362
Type: Location
9 Nathan Ln
Annville, PA 170036500
Phone: (717) 639-3350
Type: Location
1000 Norland Ave
Chambersburg, PA 172014229
Phone: (717) 267-6363
Type: Location
101 W Airport Rd
Lititz, PA 175439274
Phone: (717) 466-2445
Fax: (717) 466-2447
Type: Location
100 Eisenhower Dr
Hanover, PA 173315241
Phone: (717) 646-4201
Type: Location
24 Antrim Commons Dr
Greencastle, PA 172251623
Phone: (717) 593-0512
Fax: (717) 839-6810
Type: Location
96 Sofia Dr Ste 208
Shrewsbury, PA 173615201
Phone: (717) 812-2400
Fax: (717) 812-3005
Type: Location
46 Walnut Bottom Rd Ste 100
Shippensburg, PA 172578219
Phone: (717) 477-2764
Fax: (717) 839-6951
Type: Location
455 S Washington St Ste 12
Gettysburg, PA 173252516
Phone: (717) 339-2875
Fax: (717) 334-3921
Type: Location
2250 E Market St
York, PA 174022857
Phone: (717) 851-1566
Fax: (717) 812-3950
Type: Location
2149 S Queen St
York, PA 174034845
Phone: (717) 356-4460
Fax: (717) 260-3326
Type: Location
717 Town Center Drive
York, PA 174084824
Phone: (717) 356-4240
Type: Location
446 N Reading Rd
Ephrata, PA 175229802
Phone: (717) 738-5275
Type: Location
601 E Main St
Waynesboro, PA 172682332
Phone: (717) 765-5088
Fax: (717) 857-2515
Type: Location
601 MEMORY LN
YORK, PA 174022231
Phone: (717) 851-1405
Fax: (717) 851-6969
Type: Mailing
24 ANTRIM COMMONS DR
GREENCASTLE, PA 172251623
Phone: (717) 593-0512
Type: Location
4050 N George Street Ext
Manchester, PA 173459347
Phone: (717) 356-4370
Fax: (717) 260-3316
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-09-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210913000974 | I | Physician Assistant | PA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 106 | 69 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 74 | 54 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 13 | 12 | $0 |
Insurance plans in this area (ZIP 17233)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| - | PA | |
| - | PA | |
| Gastroenterology, Internal Medicine | PA | |
| N E U R O L O G Y | SC | |
| Physician Assistant | PA | |
| Hospitalist, Internal Medicine | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Physician Assistant | PA | |
| Family Practice | PA |
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