Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mandy Jean Boeckman, FNP

Family Nurse Practitioner in Portland, IN · enumerated 2018.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124520069

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Registry record

Entity type Individual (Type 1)

Name Mandy Jean Boeckman

Credential FNP

Sex Female

Practice address 2796 W 500 S, Portland, IN, 47371

Phone (260) 729-3523

Fax (812) 220-4280

Enumeration date Mar 7, 2018

Last updated in NPPES Apr 8, 2025

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 71007881A (IN) Primary

FNP · Family Nurse Practitioner: A nurse practitioner certified in family practice across the lifespan. About the FNP credential

Other identifiers

Identifier	Type	State	Issuer
28209065A	Medicaid	IN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Mandy Boeckman practice?

The practice location on file with NPPES is in Portland, IN. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Mandy Boeckman?

The National Provider Identifier (NPI) for Mandy Boeckman is 1124520069, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-08.