DR. ANDREW VAN BOENING (D.O.) – Internal Medicine Physician, NPI 1366978090

DR. ANDREW VAN BOENING (D.O.) is a healthcare provider. based in Pueblo, Colorado. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. TL.0006491 (CO). The NPI Number for DR. ANDREW VAN BOENING (D.O.) is 1366978090

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW VAN BOENING (D.O.)
NPI
1366978090
Phone
Not provided
Address
311 W 14TH ST
Enumeration Date
1 May 2017
Last Update Date
1 May 2017

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
3037885000
Graduation Year
2017 (9 years ago)
PAC ID
0042557811
Group Practice PAC ID
4486957578
Professional Enrollment ID
I20200616001806
Address ID
CO801132702EN501XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,994 INTERNAL MEDICINE in CO

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Provider Addresses for DR. ANDREW VAN BOENING (D.O.)

  • 311, West 14th Street, Mineral Palace, Pueblo, Pueblo County, Colorado, 81003, United States

    PUEBLO, CO 810032705

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200616001806IInternal MedicineCOTBD
I20250505000915IInternal MedicineMOTBD
I20250625003430IInternal MedicineKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes362162$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes233109$0
99239Hospital discharge day management, more than 30 minutes8786$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3838$0
99238Hospital discharge day management, 30 minutes or less1414$0
View full utilization report →

Insurance plans in this area (ZIP 81003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486957578View full group profile
NameSpecialtyState
Physician AssistantCO
Nurse PractitionerCO
Internal MedicineCA
Family PracticeIN
H O S P I T A L I S TCO
Hospitalist, Internal MedicineCO
Hospitalist, General Practice, Emergency MedicineLA
-CO
Internal MedicineCO
Internal MedicineCO

Reviews

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Frequently asked questions

Is there an official ID for DR. ANDREW VAN BOENING (D.O.) in U.S. healthcare records?
The official identifier for DR. ANDREW VAN BOENING (D.O.) is NPI 1366978090.
Would DR. ANDREW VAN BOENING (D.O.) appear as active to a payer?
You can treat DR. ANDREW VAN BOENING (D.O.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. ANDREW VAN BOENING (D.O.)?
DR. ANDREW VAN BOENING (D.O.) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ANDREW VAN BOENING (D.O.)?
Directory geography for DR. ANDREW VAN BOENING (D.O.) centers on Pueblo, Colorado.
Can I trust this NPI listing for DR. ANDREW VAN BOENING (D.O.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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