KEVIN M BOERNER (PAC) – Surgical Physician Assistant, NPI 1457346959

KEVIN M BOERNER (PAC) is a healthcare provider. based in Celebration, Florida. specializing in Surgical Physician Assistant. They hold the professional credentials PAC. They hold a License No. PA1628 (FL). The NPI Number for KEVIN M BOERNER (PAC) is 1457346959

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN M BOERNER (PAC)
NPI
1457346959
Phone
(407) 303-4673
Address
410 CELEBRATION PLACE
Enumeration Date
12 September 2005
Last Update Date
14 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4072002700
Graduation Year
1985 (41 years ago)
PAC ID
3577467125
Group Practice PAC ID
0749186153
Professional Enrollment ID
I20041118000911
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for KEVIN M BOERNER (PAC)

  • 410, Celebration Place, Celebration, Osceola County, Florida, 34747, United States

    SUITE 200

    CELEBRATION, FL 347475432

    Phone: (407) 303-4673

    Fax: (855) 834-5435

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34747)

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Provider's Procedures

KEVIN M BOERNER (PAC) performs procedures in Surgical Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL81002Urinalysis, manual test4444

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: 0749186153View full group profile
NameSpecialtyState
Physician AssistantFL
N E U R O L O G YFL
General SurgeryFL
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyFL
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists)FL
O B S T E T R I C S/ G Y N E C O L O G YMI
Physician AssistantFL

Reviews

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Frequently asked questions

Is there an official ID for KEVIN M BOERNER (PAC) in U.S. healthcare records?
The official identifier for KEVIN M BOERNER (PAC) is NPI 1457346959.
Is KEVIN M BOERNER (PAC) shown as active in public data?
Registry records indicate KEVIN M BOERNER (PAC) maintains an active NPI.
How would a patient describe KEVIN M BOERNER (PAC)'s focus?
For KEVIN M BOERNER (PAC), the primary taxonomy reads as Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with KEVIN M BOERNER (PAC)?
Directory geography for KEVIN M BOERNER (PAC) centers on Celebration, Florida.
When was this NPI issued?
Enumeration for KEVIN M BOERNER (PAC) is noted as September 12, 2005 where the registry provides it.

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