MARY MILNER BOYETTE (PA-C) – Physician Assistant, NPI 1649745449

MARY MILNER BOYETTE (PA-C) is a healthcare provider. based in Morgan, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9116958-1206 (UT). The NPI Number for MARY MILNER BOYETTE (PA-C) is 1649745449

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MARY MILNER BOYETTE (PA-C)
NPI
1649745449
Phone
(254) 228-9629
Address
869 SAPPHIRE ST
Enumeration Date
8 October 2018
Last Update Date
21 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8017734840
Graduation Year
2019 (7 years ago)
PAC ID
4183059082
Group Practice PAC ID
4284547985
Professional Enrollment ID
I20200123001473
Address ID
UT840415356LA425XX100X300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,972 PHYSICIAN ASSISTANT in UT

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Provider Addresses for MARY MILNER BOYETTE (PA-C)

  • Sapphire Street, Morgan, Mid Murray Council, South Australia, 5320, Australia

    MORGAN, UT 840509917

    Phone: (254) 228-9629

    Type: Mailing

  • 1433 N 1075 W STE 104

    FARMINGTON, UT 840252746

    Phone: (801) 281-0869

    Type: Mailing

  • PO BOX 337

    LAYTON, UT 840410337

    Phone: (801) 773-4840

    Fax: (801) 525-8151

    Type: Mailing

  • 3443 W 5600 S

    ROY, UT 840679103

    Phone: (801) 773-4840

    Fax: (801) 525-8151

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $1,511.

Total Amount is formed as General ($1,511) + Research ($0) + Ownership ($0) = $1,511.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($159).

Total Amount

$1,511

General + Research + Ownership

Payments

79

Total payment records

General Amount

$1,511

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2020-01-23

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
I20200123001473IPhysician AssistantUTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7658$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg6435$0
99203New patient office or other outpatient visit, 30-44 minutes5757$0
73130X-ray of hand, minimum of 3 views4329$0
20600Aspiration and/or injection of fluid from small joint2617$0
View full utilization report →

Insurance plans in this area (ZIP 84050)

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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: 4284547985View full group profile
NameSpecialtyState
Family PracticeUT
Nurse PractitionerUT
Family PracticeUT
Internal Medicine, EndocrinologyUT
Family PracticeUT
-UT
O T O L A R Y N G O L O G YUT
Physician AssistantAZ
Family PracticeUT
Certified Registered Nurse Anesthetist (Crna)UT

Reviews

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Frequently asked questions

What federal number belongs to MARY MILNER BOYETTE (PA-C)?
The federal identifier for MARY MILNER BOYETTE (PA-C) is NPI 1649745449.
Does this profile mean MARY MILNER BOYETTE (PA-C) is currently active?
Yes — MARY MILNER BOYETTE (PA-C) appears active in the national provider directory.
What field does MARY MILNER BOYETTE (PA-C) work in?
You can think of MARY MILNER BOYETTE (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place MARY MILNER BOYETTE (PA-C)?
The snapshot lists Morgan, Utah for MARY MILNER BOYETTE (PA-C); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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