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Active NPI 1932741717 Individual Practitioner Male Practitioner

Jacob Dalton Boehm , PA-C

Physician Assistant • St Charles, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacob Boehm, PA-C is a certified Physician Assistant practicing in St Charles, IL. With approximately 7 years of clinical experience since completing medical education in 2019, Jacob Boehm delivers high-quality medical care to the local community at 409 ILLINOIS AVE UNIT 1D.

Jacob Boehm is affiliated with Physicians Immediate Care North Chicago Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

409 Illinois Ave Unit 1d

St Charles, IL 601742966

Telephone 6309746602
Fax 6304872411
Associated Practice Facility / Clinic
🏢 Tms Clinical Services Pllc Facility NPI 1285273540

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in St Charles, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -5.5 yrs vs City Avg
City Avg: 12.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
19 Specialists

Practicing in St Charles, IL (4958 Statewide)

Telehealth Adoption Rate
52.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boehm (7 Years) 7 Yrs
St Charles Specialty Average (12.5 Years) 12.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $284.17 $99.27
99213 Established patient office or other outpatient visit, typically 15 minutes
11 11 $228.64 $78.30

Medical Specialties & State Licenses

CMS Verified: 2024-11-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085.007272

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License IL 085.007272

Definition to come...

Hospital & Practice Group Affiliations

Physicians Immediate Care North Chicago Llc

901 E Rand Rd, Mount Prospect, IL 600562580

Phone: 7086757966

Physicians Immediate Care North Chicago Llc

2077 N Clybourn Ave, Chicago, IL 606144003

Phone: 7738861500

Physicians Immediate Care North Chicago Llc

3909 N Western Ave, Chicago, IL 606183741

Phone: 7737399200

Physicians Immediate Care North Chicago Llc

4211 N Cicero Ave, Chicago, IL 606411651

Phone: 7737941000

Secondary Practice Locations

1200 W State St

Rockford, IL 611022112

Phone: 8154901600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

38 Associated Practitioners
Dr. Grace Otuokere , DNP, APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1083174023

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Susan Anewalt , LCPC

Counselor - Mental Health

NPI 1083297816

Licensed Clinical Professional Counselor

Reed Serna , LPC-MHSP

Counselor - Mental Health

NPI 1083586069

LPCMHSP

Caitlin Strebing

Nurse Practitioner - Psychiatric/Mental Health

NPI 1134587496
Allison Hasenmiller , LCSW

Social Worker - Clinical

NPI 1134957061

Licensed Clinical Social Worker

David Bachert , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154069094

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location August 21, 2023

Registered at 409 ILLINOIS AVE UNIT 1D, ST CHARLES, IL 601742966 (Tel: 6309746602)

📍
Updated Business Mailing Address August 21, 2023

Registered at 1100 JORIE BLVD STE 300, OAK BROOK, IL 605232219 (Tel: 6309746602)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2023

Physician Assistant

📍
Updated Business Mailing Address November 29, 2019

Registered at 1200 W STATE ST, ROCKFORD, IL 611022112 (Tel: 8154901600)

NPI Profile Active October 12, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2019

Registered at 1200 W STATE ST, ROCKFORD, IL 611022112 (Tel: 8154901600)

📍
Updated Business Mailing Address October 12, 2019

Registered at 19352 GUDGEL AVE, PETERSBURG, IL 626756024 (Tel: 2173417989)

👤
Provider Name / Credentials Updated October 12, 2019

Recorded as JACOB BOEHM, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2019

Physician Assistant (License #085.007272 in IL)

🟢
Initial NPI Registration & Enumeration October 12, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932741717
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2019
Last Update: November 22, 2024
Sole Proprietor: No

Mailing Address

1100 Jorie Blvd Ste 300

Oak Brook, IL 605232219

Phone: 6309746602

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.