J BOATMAN LLC
J BOATMAN LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003112558, based in Creve Coeur, MO. It is classified under Adult Psychiatric/Mental Health Registered Nurse.
Getting there
The practice address on file is 11475 OLDE CABIN RD STE 120, Creve Coeur, MO 63141. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 11805 | MO | Adult Psychiatric/Mental Health… primary |
This provider holds licence 11805 issued in MO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3274719620
- Enrollment ID
- O20110519000071
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Psychiatric/Mental Health, Adult covers
Definition to come... NUCC Health Care Provider Taxonomy, code 163WP0809X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003112558 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 1, 2011 |
| Last updated | Oct 10, 2022 |
| Status | Active |
| Practice address |
11475 OLDE CABIN RD STE 120 Creve Coeur, MO 63141 (314) 647-4488 Fax (314) 647-6305 |
| Mailing address |
5807 MANGO DR Saint Louis, MO 63129 |
| Other identifiers |
580714
· Other (MO) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 1 | 1 | 2 | 5 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 2 | 1 | 4 | 5 | 1 |
Sum = 42 · next multiple of 10 = 50 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.