Carolyn Boeckler, NP is a medicare enrolled "Nurse Practitioner" physician in Sacramento, California. She graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Stanford Health Care and her current practice location is
2221 Stockton Blvd, Sacramento, California. You can reach out to her office (for appointments etc.) via phone at
(916) 734-2011.
Carolyn Boeckler is licensed to practice in California (license number 95026698) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689404022.
Physician's Profile
| Full Name | Carolyn Boeckler |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 2221 Stockton Blvd, Sacramento, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carolyn Boeckler graduated from medical school in 2023
NPI Data:
- NPI Number: 1689404022
- Provider Enumeration Date: 08/01/2024
- Last Update Date: 06/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 6800328006
- Enrollment ID: I20241013000193
Medical Identifiers
Medical identifiers for Carolyn Boeckler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689404022 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2086S0127X | Surgery - Trauma Surgery | 95026698 (California) | Secondary |
| 363LC0200X | Nurse Practitioner - Critical Care Medicine | 95026698 (California) | Secondary |
| 363L00000X | Nurse Practitioner | 95026698 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Stanford Health Care | 6709797491 | 3036 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carolyn Boeckler allows following entities to bill medicare on her behalf.
| Entity Name | Stanford Health Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437292927
PECOS PAC ID: 6709797491
Enrollment ID: O20031124000348 |
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| Entity Name | Lpch Medical Group Div Of Lucile |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417907940
PECOS PAC ID: 0840298543
Enrollment ID: O20061113000232 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carolyn Boeckler is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Carolyn Boeckler, NP
2221 Stockton Blvd,
Sacramento, CA 95817-1462
Ph: () - | Carolyn Boeckler, NP
2221 Stockton Blvd,
Sacramento, CA 95817-1462
Ph: (916) 734-2011 |
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