MANDI BOONE (PA-C) – Medical Physician Assistant, NPI 1962401950

MANDI BOONE (PA-C) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA052095 (PA). The NPI Number for MANDI BOONE (PA-C) is 1962401950

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MANDI BOONE (PA-C)
NPI
1962401950
Phone
Not provided
Address
PO BOX 783311
Enumeration Date
20 July 2005
Last Update Date
6 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
4688619240
Group Practice PAC ID
3072425123
Professional Enrollment ID
I20050624000141
Address ID
PA181036224AL1250XBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,689 PHYSICIAN ASSISTANT in PA

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Provider Addresses for MANDI BOONE (PA-C)

  • American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States

    PHILADELPHIA, PA 191783311

    Phone:

    Type: Mailing

  • South Cedar Crest Boulevard, Bungalow Park, Cetronia, South Whitehall Township, Lehigh County, Pennsylvania, 18104, United States

    SUITE 300

    ALLENTOWN, PA 181036224

    Phone: (610) 402-3110

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $488.

Total Amount is formed as General ($488) + Research ($0) + Ownership ($0) = $488.

Last reported payment date: 2023-08-16 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($220).

Total Amount

$488

General + Research + Ownership

Payments

13

Total payment records

General Amount

$488

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-16

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: 2005-06-24

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
I20050624000141IPhysician AssistantPATBD

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 19178)

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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: 3072425123View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Can I use this page to confirm MANDI BOONE (PA-C)'s NPI?
Yes. MANDI BOONE (PA-C) is listed with NPI 1962401950 in the public NPI dataset.
Can I rely on MANDI BOONE (PA-C) being an active provider?
As of the registry snapshot, MANDI BOONE (PA-C) is marked active.
What is MANDI BOONE (PA-C)'s primary classification?
Medical Physician Assistant is the headline specialty for MANDI BOONE (PA-C) here. Clinical services aligned with this taxonomy classification.
Does MANDI BOONE (PA-C) list a practice location?
Patients near Philadelphia, Pennsylvania may find MANDI BOONE (PA-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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