MEGAN DANIELLE SAMPSON BOONE (PA) – Physician Assistant, NPI 1487320057

MEGAN DANIELLE SAMPSON BOONE (PA) is a healthcare provider. based in Kokomo, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 10003403A (IN). The NPI Number for MEGAN DANIELLE SAMPSON BOONE (PA) is 1487320057

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MEGAN DANIELLE SAMPSON BOONE (PA)
NPI
1487320057
Phone
(765) 453-0702
Address
3500 S LaFountain St
Enumeration Date
23 August 2021
Last Update Date
16 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7657738403
Graduation Year
2021 (5 years ago)
PAC ID
6709277759
Group Practice PAC ID
1759416662
Professional Enrollment ID
I20211229001777
Address ID
IN469023803KO3548XSTXX400

Contacts

Secure Messaging
direct.indianainternalmedicine@ccme.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for MEGAN DANIELLE SAMPSON BOONE (PA)

  • 3500 S LaFountain St

    Kokomo, IN 469023803

    Phone: (765) 453-0702

    Type: Location

  • 701 E COUNTY LINE RD

    GREENWOOD, IN 461431072

    Phone:

    Type: Mailing

  • 701 E COUNTY LINE RD STE 101

    GREENWOOD, IN 461431070

    Phone: (317) 885-2860

    Type: Location

  • 6626 E 75TH ST STE 500

    INDIANAPOLIS, IN 462502890

    Phone: (317) 621-7547

    Type: Mailing

  • 1515 N MADISON AVE

    ANDERSON, IN 460113453

    Phone: (765) 298-4242

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 115 Open Payments records for all available years, with a total value of $2,346.

Total Amount is formed as General ($2,346) + Research ($0) + Ownership ($0) = $2,346.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($362).

Total Amount

$2,346

General + Research + Ownership

Payments

115

Total payment records

General Amount

$2,346

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

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: 2021-12-29

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
I20211229001777IPhysician AssistantINTBD

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 minutes12388$0
99214Established patient office or other outpatient visit, 30-39 minutes5544$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2821$0
99203New patient office or other outpatient visit, 30-44 minutes1616$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 46902)

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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: 1759416662View full group profile

Reviews

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Frequently asked questions

How do payers reference MEGAN DANIELLE SAMPSON BOONE (PA)?
For MEGAN DANIELLE SAMPSON BOONE (PA), use NPI 1487320057 as the unique 10-digit identifier.
Is there an active status for MEGAN DANIELLE SAMPSON BOONE (PA)?
For scheduling context, MEGAN DANIELLE SAMPSON BOONE (PA) is shown as active in the registry.
What kind of doctor is MEGAN DANIELLE SAMPSON BOONE (PA)?
MEGAN DANIELLE SAMPSON BOONE (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Indiana is MEGAN DANIELLE SAMPSON BOONE (PA) registered?
Use Kokomo, Indiana as the headline location for MEGAN DANIELLE SAMPSON BOONE (PA) here.
Can I trust this NPI listing for MEGAN DANIELLE SAMPSON BOONE (PA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.