Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Abigail Boethin, PA-C

Individual provider Physician Assistant · NPI 1023369212

Mrs. Abigail Boethin, PA-C is a Physician Assistant in Urbana, Illinois. Licensed in Illinois and Missouri. Registered with an NPI since 2012.

Licensed in
IL, MO
In the registry since
2012
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

611 W Park St Fapc
Urbana, IL 61801
Phone: (217) 904-7000
Fax: (217) 904-7748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085007968 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 2012033522 (MO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2012033522 (MO)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2012033522 (MO)

Record details

NPI number1023369212
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2012
Last updated in NPPESJune 11, 2021
Certification dateMay 27, 2021

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