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Deactivated NPI 1972840353 Deactivated / Inactive NPI Female Practitioner

Jamie Lee Boller , CNA

Driver • Auburn, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jamie Boller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 06, 2013
NPI Deactivation Date September 10, 2021
Total Practice Duration ~8 Years of Practice (2013 – 2021)

Professional Overview & Biography Verified Profile Summary

Jamie Boller, CNA was a registered Driver practicing in Auburn, IN. Throughout an active medical career spanning 8 years, Jamie Boller provided care at the practice location at 804 S INDIANA AVE until profile deactivation on 2021-09-10.

Practice Location & Contact Primary Location

Practice Address

804 S Indiana Ave

Auburn, IN 467062851

Telephone 2609082533

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Auburn, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Auburn, IN (139 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License IN CNA1207107

A person employed to operate a motor vehicle as a carrier of persons or property.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 10, 2021

Record deactivated on September 10, 2021

NPI Profile Active January 06, 2013

NPI status registered as active in NPPES database

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Updated Practice Location January 06, 2013

Registered at 804 S INDIANA AVE, AUBURN, IN 467062851 (Tel: 2609082533)

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Updated Business Mailing Address January 06, 2013

Registered at 804 S INDIANA AVE, AUBURN, IN 467062851 (Tel: 2609082533)

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Provider Name / Credentials Updated January 06, 2013

Recorded as JAMIE BOLLER, CNA

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2013

Driver (License #CNA1207107 in IN)

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Initial NPI Registration & Enumeration January 06, 2013

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: 1972840353
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 06, 2013
Last Update: January 06, 2013
Deactivation Date: September 10, 2021

Mailing Address

804 S Indiana Ave

Auburn, IN 467062851

Phone: 2609082533

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

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