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

Ashley Erin Boumgarden

Individual provider Family Nurse Practitioner · NPI 1912751975

Ashley Erin Boumgarden is a Nurse Practitioner in Oak Park, Illinois. Qualified in 2024, 2 years ago. Practices with Pcc Community Wellness Center, a 89-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2024
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

14 Lake St
Oak Park, IL 60302-2606
Phone: (708) 383-0113
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209030519 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041462308 (IL)

Record details

NPI number1912751975
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2024
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Pcc Community Wellness Center — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oak Park