KEVIN BOONE (NP) – Nurse Practitioner, NPI 1376869669

KEVIN BOONE (NP) is a healthcare provider. based in Lebanon, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 71003256A (IN). The NPI Number for KEVIN BOONE (NP) is 1376869669

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN BOONE (NP)
NPI
1376869669
Phone
Not provided
Address
2605 N LEBANON ST
Enumeration Date
13 April 2010
Last Update Date
10 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
3274665393
Group Practice PAC ID
4082523170
Professional Enrollment ID
I20100724000046
Address ID
IN460528621LE2705XSTXX400

Contacts

Secure Messaging
kevin.boone@whs.eclinicaldirectplus.com
Secure Messaging
kboone@withamdirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

8,191 NURSE PRACTITIONER in IN

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Provider Addresses for KEVIN BOONE (NP)

  • 2605 N LEBANON ST

    LEBANON, IN 460521476

    Phone:

    Type: Mailing

  • 305, North Lebanon Street, Lebanon, Boone County, Indiana, 46052, United States

    LEBANON, IN 460528622

    Phone:

    Type: Mailing

  • 265, North Lebanon Street, Lebanon, Boone County, Indiana, 46052, United States

    LEBANON, IN 460528621

    Phone: (765) 485-8830

    Fax: (735) 485-8839

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 186 Open Payments records for all available years, with a total value of $3,376.

Total Amount is formed as General ($3,376) + Research ($0) + Ownership ($0) = $3,376.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($649).

Total Amount

$3,376

General + Research + Ownership

Payments

186

Total payment records

General Amount

$3,376

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20100724000046INurse PractitionerINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes14351$0
11042Removal of skin and tissue, 20.0 sq cm or less6517$0
99214Established patient office or other outpatient visit, 30-39 minutes4528$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3119$0
36415Insertion of needle into vein for collection of blood sample1614$0
View full utilization report →

Insurance plans in this area (ZIP 46052)

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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: 4082523170View full group profile

Reviews

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Frequently asked questions

Can I cross-check KEVIN BOONE (NP) using NPI 1376869669?
NPI 1376869669 belongs to KEVIN BOONE (NP); compare other details if you need extra assurance.
Active or inactive — what applies to KEVIN BOONE (NP)?
You should see KEVIN BOONE (NP) as active in CMS-hosted NPPES data.
What expertise is attributed to KEVIN BOONE (NP)?
KEVIN BOONE (NP)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KEVIN BOONE (NP) associated with Lebanon?
Public fields place KEVIN BOONE (NP) around Lebanon, Indiana. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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