NELLIE LUCILLE BOONE (PA) – Medical Physician Assistant, NPI 1134317803
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
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Provider Addresses for NELLIE LUCILLE BOONE (PA)
Providence Saint Joseph's Hospital, 500, East Webster Avenue, Chewelah, Stevens County, Washington, 99109, United States
CHEWELAH, WA 991099523
Phone: (509) 935-8211
Fax: (509) 935-5257
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 43 Open Payments records for all available years, with a total value of $782.
Total Amount is formed as General ($782) + Research ($0) + Ownership ($0) = $782.
Last reported payment date: 2024-11-24 • Largest payer in this snapshot: Novo Nordisk Inc ($203).
Total Amount
$782
General + Research + Ownership
Payments
43
Total payment records
General Amount
$782
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $203 |
| AstraZeneca Pharmaceuticals LP | $178 |
| Amgen Inc. | $126 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $109 |
| ABBVIE INC. | $40 |
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: 2007-10-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071026000449 | I | Physician Assistant | WA | 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 |
|---|---|---|---|---|
| 85610 | Blood test, clotting time | 60 | 13 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 39 | 24 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 39 | 38 | $0 |
| 81002 | Urinalysis, manual test | 33 | 21 | $0 |
| 83036 | Hemoglobin a1c level | 32 | 27 | $0 |
Insurance plans in this area (ZIP 99109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| Family Practice | WA | |
| Family Practice | WA |
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