J Boatman LLC
NPI 1003112558 · Adult Psychiatric/Mental Health Registered Nurse · Creve Coeur, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
J Boatman LLC is a Adult Psychiatric/Mental Health Registered Nurse organization in Creve Coeur, MO (NPI 1003112558).
Provider details
- NPI number
- 1003112558
- Entity type
- Organization
- Primary specialty
- Adult Psychiatric/Mental Health Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Boatman, Owner(314) 753-5184
- License
- 11805 (MO)
Specialties & taxonomies
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1201 Bellevue AveSt Louis, MO 63117Phone: (314) 647-4788Fax: (314) 647-6305
Registry dates
- Enumerated
- 2011-02-01
- Last updated
- 2022-10-10
- Certified
- 2022-10-10
Frequently asked questions
- What is J Boatman LLC's NPI number?
- J Boatman LLC's National Provider Identifier (NPI) is 1003112558, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is J Boatman LLC?
- J Boatman LLC is classified in the NPPES registry as Adult Psychiatric/Mental Health Registered Nurse (Nursing Service Providers).
- Where is J Boatman LLC located?
- J Boatman LLC's practice location on file with NPPES is 11475 Olde Cabin Rd Ste 120, Creve Coeur, MO 63141-7128.
- What is J Boatman LLC's phone number?
- The practice phone number listed in the NPPES registry for J Boatman LLC is (314) 647-4488.
- Does J Boatman LLC accept Medicare?
- J Boatman LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for J Boatman LLC?
- The authorized official listed on J Boatman LLC's NPPES record is Jeffrey Boatman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is J Boatman LLC's NPI active?
- Yes — J Boatman LLC's NPI (1003112558) is active in the NPPES registry as of the last update on 2022-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.