David Boedeker, PA-C
NPI 1508311085 · Medical Physician Assistant · Lansing, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
David Boedeker, PA-C is a Medical Physician Assistant provider in Lansing, MI (NPI 1508311085).
Provider details
- NPI number
- 1508311085
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 5601008520 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2016-08-24
- Last updated
- 2021-10-04
- Certified
- 2021-10-04
Frequently asked questions
- What is David Boedeker's NPI number?
- David Boedeker's National Provider Identifier (NPI) is 1508311085, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is David Boedeker's specialty?
- David Boedeker is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is David Boedeker located?
- David Boedeker's practice location on file with NPPES is 2815 S. Pennsylvania Ave, Lansing, MI 48910-3496.
- What is David Boedeker's phone number?
- The practice phone number listed in the NPPES registry for David Boedeker is (517) 267-0200.
- Does David Boedeker accept Medicare?
- David Boedeker is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is David Boedeker's NPI active?
- Yes — David Boedeker's NPI (1508311085) is active in the NPPES registry as of the last update on 2021-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.