MARIE VALE BOOMER (PA-C) – Medical Physician Assistant, NPI 1164621009

MARIE VALE BOOMER (PA-C) is a healthcare provider. based in Novi, Michigan. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 5601001569 (MI). The NPI Number for MARIE VALE BOOMER (PA-C) is 1164621009

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
MARIE VALE BOOMER (PA-C)
NPI
1164621009
Phone
(248) 893-3200
Address
28455 HAGGERTY RD
Enumeration Date
12 July 2007
Last Update Date
29 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2484245802
Graduation Year
1984 (42 years ago)
PAC ID
5496798019
Group Practice PAC ID
3870484116
Professional Enrollment ID
I20120515000444
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for MARIE VALE BOOMER (PA-C)

  • 28455, Haggerty Road, Novi, Oakland County, Michigan, 48377, United States

    STE 200

    NOVI, MI 483772982

    Phone: (248) 893-3200

    Fax: (248) 893-2950

    Type: Location

  • 6676 SOLUTIONS CTR

    CHICAGO, IL 606776006

    Phone: (248) 893-3200

    Fax: (248) 893-2951

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $236.

Total Amount is formed as General ($236) + Research ($0) + Ownership ($0) = $236.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($236).

Total Amount

$236

General + Research + Ownership

Payments

10

Total payment records

General Amount

$236

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$236
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.

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

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 48377)

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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: 3870484116View full group profile
NameSpecialtyState
General Practice, Geriatric MedicineMI
-MI
Nurse PractitionerMI
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationIL
Nurse PractitionerIL
Physical Medicine And RehabilitationIL
Nurse PractitionerMI

Reviews

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Frequently asked questions

How do I look up MARIE VALE BOOMER (PA-C) by NPI?
Use NPI 1164621009 when you need to reference MARIE VALE BOOMER (PA-C) in forms, claims, or directories.
Is MARIE VALE BOOMER (PA-C)'s NPI currently valid?
The extract we use shows MARIE VALE BOOMER (PA-C) as active.
What does MARIE VALE BOOMER (PA-C) treat or focus on?
Patients typically see MARIE VALE BOOMER (PA-C) under the specialty Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MARIE VALE BOOMER (PA-C)'s primary listing?
We display Novi, Michigan because that is what the record indicates for MARIE VALE BOOMER (PA-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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