ELISA BOMA GARCIA – Neurology Physician, NPI 1700831781

ELISA BOMA GARCIA is a healthcare provider. based in Elizabethtown, Kentucky. specializing in Neurology Physician. They hold a License No. 20007 (KY). The NPI Number for ELISA BOMA GARCIA is 1700831781

Main info

Female
54 Years Of Experience
Accepts Medicare Assignment
Name
ELISA BOMA GARCIA
NPI
1700831781
Phone
(270) 769-6875
Address
1237 WOODLAND DR
Enumeration Date
24 May 2006
Last Update Date
30 June 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2707696875
Graduation Year
1972 (54 years ago)
PAC ID
0648164111
Group Practice PAC ID
8820982390
Professional Enrollment ID
I20100601000423
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ELISA BOMA GARCIA

  • 1237, Woodland Drive, Elizabethtown, Hardin County, Kentucky, 42701, United States

    ELIZABETHTOWN, KY 427012709

    Phone: (270) 769-6875

    Fax: (270) 737-9696

    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: 2010-06-01

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
I20100601000423INeurologyKYTBD

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.

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

Insurance plans in this area (ZIP 42701)

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Provider's Procedures

ELISA BOMA GARCIA performs procedures in Neurology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROLOGYKY95811Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube1414

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Frequently asked questions

What is ELISA BOMA GARCIA's NPI number?
ELISA BOMA GARCIA's NPI is 1700831781 — the number used across U.S. healthcare to identify this provider.
Is ELISA BOMA GARCIA still an active registrant?
ELISA BOMA GARCIA carries an active NPI according to the public dataset.
What area of care is associated with ELISA BOMA GARCIA?
ELISA BOMA GARCIA's record emphasizes Neurology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ELISA BOMA GARCIA?
Travel planning: use Elizabethtown, Kentucky as the reference point for ELISA BOMA GARCIA, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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