Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea D Boeckman, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1194882514

Andrea D Boeckman, MD is an Obstetrics/Gynecology in Lake Geneva, Wisconsin. Graduated from Creighton University School of Medicine in 2004, 22 years ago. Practices with Mercy Health System Corporation, a 751-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
22
Trained at
Creighton University School of Medicine
Licensed in
WI
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

N2950 State Road 67
Lake Geneva, WI 53147-2655
Phone: (262) 245-0535
Fax: (262) 245-2248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3821 Spring Street, Racine, WI 53405-1667 — (262) 687-8460

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 49227 (WI)

Record details

NPI number1194882514
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 3, 2007
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Mercy Health System Corporation — 751 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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