Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jessica Lynn Boedeker, FNP

Individual provider Family Nurse Practitioner · NPI 1093375115

Mrs. Jessica Lynn Boedeker, FNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2018, 8 years ago. Practices with Mercy Hospital Lincoln, a 32-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
8
Licensed in
MO
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

621 S New Ballas Rd Ste 5003B
Saint Louis, MO 63141-8270
Phone: (314) 251-8892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2018032910 (MO)

Record details

NPI number1093375115
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 20, 2019
Last updated in NPPESAugust 23, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mercy Hospital Lincoln — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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