DR. JENNIFER R BOALS (MD) – Diagnostic Radiology Physician, NPI 1114920394

DR. JENNIFER R BOALS (MD) is a healthcare provider. based in Bartlett, Tennessee. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 30500 (TN). The NPI Number for DR. JENNIFER R BOALS (MD) is 1114920394

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER R BOALS (MD)
NPI
1114920394
Phone
(901) 291-2400
Address
8010 STAGE HILLS BLVD
Enumeration Date
23 May 2005
Last Update Date
8 September 2011

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
6629329000
Graduation Year
1995 (31 years ago)
PAC ID
5395835581
Group Practice PAC ID
1557333226
Professional Enrollment ID
I20080422000555
Address ID
MS386548737OL4250XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

1,081 DIAGNOSTIC RADIOLOGY in TN

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Provider Addresses for DR. JENNIFER R BOALS (MD)

  • Stage Hills Boulevard, Bartlett, Shelby County, Tennessee, 38133, United States of America

    BARTLETT, TN 381334032

    Phone: (901) 291-2400

    Type: Mailing

  • Poplar Pike, Germantown, Shelby County, Tennessee, 38139, United States of America

    SUITE 101

    GERMANTOWN, TN 381385947

    Phone: (901) 685-2696

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $449.

Total Amount is formed as General ($449) + Research ($0) + Ownership ($0) = $449.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Inari Medical, Inc. ($151).

Total Amount

$449

General + Research + Ownership

Payments

9

Total payment records

General Amount

$449

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2011-11-08

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
I20080422000555IDiagnostic RadiologyMSTBD
I20111108000775IDiagnostic RadiologyTNTBD

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
77063Screening 3d breast mammography941941$0
77067Screening mammography937937$0
71045X-ray of chest, 1 view370348$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)356346$0
77080Dxa bone density measurement of hip, pelvis, spine302302$0
View full utilization report →

Insurance plans in this area (ZIP 38133)

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Provider's Procedures

DR. JENNIFER R BOALS (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYTN74177CT scan of abdomen and pelvis with contrast7272
DIAGNOSTIC RADIOLOGYTN93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers2222

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: 1557333226View full group profile
NameSpecialtyState
Diagnostic RadiologyTN
Diagnostic Radiology, Interventional RadiologyTN
-TN
Diagnostic RadiologyTN
Diagnostic RadiologyTN
-TN
Diagnostic RadiologyTN
Diagnostic RadiologyTN
-TN
Diagnostic RadiologyLA

Reviews

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Frequently asked questions

Is DR. JENNIFER R BOALS (MD) listed with a National Provider Identifier?
Yes — DR. JENNIFER R BOALS (MD) has NPI 1114920394 on file in the registry.
Would DR. JENNIFER R BOALS (MD) appear as active to a payer?
You can treat DR. JENNIFER R BOALS (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. JENNIFER R BOALS (MD)?
DR. JENNIFER R BOALS (MD)'s record emphasizes Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. JENNIFER R BOALS (MD) located near Bartlett?
DR. JENNIFER R BOALS (MD) currently maps to Bartlett, Tennessee in this extract.
Does DR. JENNIFER R BOALS (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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