LOIS BOOMS (F.N.P.) – Family Nurse Practitioner, NPI 1205260759

LOIS BOOMS (F.N.P.) is a healthcare provider. based in Pigeon, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials F.N.P.. They hold a License No. 4704170800 (MI). The NPI Number for LOIS BOOMS (F.N.P.) is 1205260759

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
LOIS BOOMS (F.N.P.)
NPI
1205260759
Phone
Not provided
Address
168 N CASEVILLE RD
Enumeration Date
1 September 2013
Last Update Date
30 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9894532141
Graduation Year
2013 (13 years ago)
PAC ID
1951538313
Group Practice PAC ID
1456242296
Professional Enrollment ID
I20131211000829
Address ID
MI487559415PI168XXRDXX400

Contacts

Secure Messaging
lbooms46157@direct.covenanthealthcare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

8,105 NURSE PRACTITIONER in MI

Provider Addresses for LOIS BOOMS (F.N.P.)

  • 168 N CASEVILLE RD

    PIGEON, MI 487559415

    Phone:

    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)

CMS reports 29 Open Payments records for all available years, with a total value of $541.

Total Amount is formed as General ($541) + Research ($0) + Ownership ($0) = $541.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($136).

Total Amount

$541

General + Research + Ownership

Payments

29

Total payment records

General Amount

$541

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2013-12-11

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
I20131211000829INurse PractitionerMITBD

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 48755)

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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: 1456242296View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Family Practice, Geriatric MedicineMI
Emergency MedicineMI
Certified Registered Nurse Anesthetist (Crna)MI
Emergency MedicineMI
-MI
Nurse PractitionerMI
Clinical Social WorkerMI
General SurgeryMI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

Can I use this page to confirm LOIS BOOMS (F.N.P.)'s NPI?
Yes. LOIS BOOMS (F.N.P.) is listed with NPI 1205260759 in the public NPI dataset.
Is LOIS BOOMS (F.N.P.) listed as active for patients and plans?
The listing shows LOIS BOOMS (F.N.P.) as active in the NPI system.
What is LOIS BOOMS (F.N.P.) best known for clinically?
Directory data describes LOIS BOOMS (F.N.P.) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does LOIS BOOMS (F.N.P.) list a practice location?
Patients near Pigeon, Michigan may find LOIS BOOMS (F.N.P.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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