JOHN L. BOEDEKER DO – NPI #1780795393
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

JOHN BOEDEKER is a physician located in MASON CITY, IA. NPPES has assigned the NPI number 1780795393 to JOHN BOEDEKER on August 31, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Jul 09, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN BOEDEKER below.

NPI Profile for
JOHN L. BOEDEKER

NPI Number
1780795393
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN L. BOEDEKER
Credentials
DO
Primary location
1010 4TH ST SW
MASON CITY, IA 50401
Phone: (641) 428-6020 Fax: (641) 428-7803
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jul 09, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JOHN BOEDEKER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidIA0452011
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 IA 03763

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
MERCYONE NORTH IOWA DIRECT EMAIL
Content Type
OTHER
Affiliation
N
Endpoint Location
1010 4TH ST SW,
MASON CITY, IA 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JOHN BOEDEKER is affiliated with the following medical group(s):
  • HOSPITAL
    • HANCOCK COUNTY HEALTH SYSTEM
      532 1ST ST NW
      BRITT, IA 50423
    • MERCYONE NORTH IOWA MEDICAL CENTER
      1000 FOURTH STREET SW
      MASON CITY, IA 50401
  • HOME HEALTH AGENCY
    • MERCYONE NORTH IOWA HOME CARE
      910 NORTH EISENHOWER
      MASON CITY, IA 50401
  • NURSING HOME
    • GOOD SHEPHERD HEALTH CENTER
      302 SECOND STREET NE
      MASON CITY, IA 50401
    • HERITAGE CARE AND REHABILITATION CENTER
      501 SOUTH KENTUCKY AVE
      MASON CITY, IA 50401
  • HOSPICE
    • MERCYONE NORTH IOWA HOSPICE
      232 SECOND STREET SE
      MASON CITY, IA 50401

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.