JACQUELINE BOONE (AGACNP-BC, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1962824615
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JACQUELINE BOONE (AGACNP-BC, PMHNP-BC)
PO BOX 858
MC A410
HERSHEY, PA 170330858
Phone: (800) 243-1455
Type: Mailing
500 UNIVERSITY DR
HERSHEY, PA 170332360
Phone: (800) 243-1455
Type: Location
14321 WINTER BREEZE DR STE 67
MIDLOTHIAN, VA 231132452
Phone:
Type: Mailing
3751 NINE MILE RD
RICHMOND, VA 232234830
Phone: (804) 492-7263
Fax: (804) 220-5253
Type: Location
PO BOX 4992
MIDLOTHIAN, VA 231120017
Phone:
Type: Mailing
5875 BREMO RD STE 400
RICHMOND, VA 232261928
Phone: (804) 287-3550
Fax: (804) 281-7840
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $412.
Total Amount is formed as General ($412) + Research ($0) + Ownership ($0) = $412.
Last reported payment date: 2024-04-26 • Largest payer in this snapshot: Abbott Laboratories ($397).
Total Amount
$412
General + Research + Ownership
Payments
6
Total payment records
General Amount
$412
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $397 |
| Merck Sharp & Dohme LLC | $15 |
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: 2017-11-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140516000344 | I | Nurse Practitioner | PA | TBD |
| I20171120002943 | I | Nurse Practitioner | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19 | 16 | $0 |
Insurance plans in this area (ZIP 17033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | PA | |
| Vascular Surgery | MD | |
| O P H T H A L M O L O G Y | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| - | FL | |
| - | PA | |
| - | PA | |
| Emergency Medicine | PA | |
| Critical Care (Intensivists) | PA |
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