Jacob Boomgaardt, DO
NPI 1508353764 · Student in an Organized Health Care Education/Training Program · Charlottesville, VA
Enrolled with Medicare as Order and Referring Only - Physical Medicine and Rehabilitation · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Boomgaardt, DO is a Student in an Organized Health Care Education/Training Program provider in Charlottesville, VA (NPI 1508353764).
Provider details
- NPI number
- 1508353764
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% 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
- 2018-04-13
- Last updated
- 2018-04-13
Frequently asked questions
- What is Jacob Boomgaardt's NPI number?
- Jacob Boomgaardt's National Provider Identifier (NPI) is 1508353764, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Boomgaardt's specialty?
- Jacob Boomgaardt is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jacob Boomgaardt located?
- Jacob Boomgaardt's practice location on file with NPPES is 1215 Lee St, Charlottesville, VA 22908-0816.
- What is Jacob Boomgaardt's phone number?
- The practice phone number listed in the NPPES registry for Jacob Boomgaardt is (434) 924-3627.
- Does Jacob Boomgaardt accept Medicare?
- Jacob Boomgaardt is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Boomgaardt's NPI active?
- Yes — Jacob Boomgaardt's NPI (1508353764) is active in the NPPES registry as of the last update on 2018-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.