MEGHAN T BOOMHOWER (PA - C) – Physician Assistant, NPI 1013167162

MEGHAN T BOOMHOWER (PA - C) is a healthcare provider. based in Grosse pointe woods, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA - C. They hold a License No. 5601005418 (MI). The NPI Number for MEGHAN T BOOMHOWER (PA - C) is 1013167162

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MEGHAN T BOOMHOWER (PA - C)
NPI
1013167162
Phone
(313) 880-1220
Address
19815 MACK AVE
Enumeration Date
25 September 2008
Last Update Date
31 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485133719
Graduation Year
2008 (18 years ago)
PAC ID
9234293697
Group Practice PAC ID
9032448766
Professional Enrollment ID
I20090129000318
Address ID
MI483741348NO27204RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for MEGHAN T BOOMHOWER (PA - C)

  • 19815 MACK AVE

    GROSSE POINTE WOODS, MI 482362505

    Phone: (313) 880-1220

    Type: Mailing

  • Beaumont Boulevard, Southfield, Oakland County, Michigan, 48034, United States

    SOUTHFIELD, MI 480333849

    Phone: (947) 522-1862

    Fax: (947) 522-0307

    Type: Mailing

  • Beaumont Hospital - Farmington Hills, 28050, Grand River Avenue, Farmington Hills, Oakland County, Michigan, 48336, United States

    FARMINGTON HILLS, MI 483365919

    Phone: (947) 521-8000

    Fax: (248) 471-8964

    Type: Location

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: 2009-01-29

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
I20090129000318IPhysician AssistantMITBD

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
99203New patient office or other outpatient visit, 30-44 minutes6060$0
87804Detection test by immunoassay with direct visual observation for influenza virus5727$0
99213Established patient office or other outpatient visit, 20-29 minutes5345$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus3734$0
99204New patient office or other outpatient visit, 45-59 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 48236)

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Provider's Procedures

MEGHAN T BOOMHOWER (PA - C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMI93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report5449

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: 9032448766View full group profile
NameSpecialtyState
Physician AssistantMI
-MI
Physician AssistantMI
Physician AssistantMI
Emergency MedicineMI
Physician AssistantOH
Physician AssistantMI
-MI
Physician AssistantMI
Physician AssistantMI

Reviews

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Frequently asked questions

Does MEGHAN T BOOMHOWER (PA - C) have a public NPI I can cite?
Public records show MEGHAN T BOOMHOWER (PA - C) under NPI 1013167162.
Does the public listing show MEGHAN T BOOMHOWER (PA - C) as active?
MEGHAN T BOOMHOWER (PA - C)'s NPI record reflects an active status in NPPES.
What does the directory say MEGHAN T BOOMHOWER (PA - C) does?
Insurance directories may phrase it differently, but here MEGHAN T BOOMHOWER (PA - C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to MEGHAN T BOOMHOWER (PA - C)?
The directory associates MEGHAN T BOOMHOWER (PA - C) with Grosse Pointe Woods, Michigan. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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