Nellie Lucille Boone, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

TA10005278 Issued in WA

Practice address

500 E Webster Ave
Chewelah, WA 99109-9523

Phone

(509) 935-8211

Fax

(509) 935-5257

NPI assigned

Oct 9, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nellie Lucille Seabright Former name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Chewelah Associated Physicians PSGroup PAC ID 9537057765, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Assured Home Health Home health agency, Spokane Valley, WA, CCN 507044
• Providence St Joseph Hospital Hospital, Chewelah, WA, CCN 501309
• Providence Mount Carmel Hospital Hospital, Colville, WA, CCN 501326

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chewelah Associated Physicians PS

  • Family Medicine Physician
  • Chewelah, WA
  • NPI 1104971365
  Medicare reassignment Care Compare group
• Spokane Emergency Care Physicians PLLC

  • Emergency Medicine Physician
  • Spokane, WA
  • NPI 1912564055
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northeast Washington Home Health, Inc.

  • Home Health Agency
  • Spokane Valley, WA
  • NPI 1336379015
  Care Compare affiliation
• Providence Health & Services - Wa

  • Critical Access Hospital
  • Chewelah, WA
  • NPI 1750532321
  Care Compare affiliation
• Providence Health & Services - Washington

  • Critical Access Hospital
  • Colville, WA
  • NPI 1003067679
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1134317803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E WEBSTER AVE",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991099523",
            "telephone_number": "509-935-8211",
            "fax_number": "509-935-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E WEBSTER AVE",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991099523",
            "telephone_number": "509-935-8211",
            "fax_number": "509-935-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "NELLIE",
        "middle_name": "LUCILLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "TA10005278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00450010",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NELLIE",
            "last_name": "SEABRIGHT",
            "middle_name": "LUCILLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexander J Berry
• Biancardi Eyes, LLC
• Danielle E Blanchard
• Rae Nadeen Boggs, LMP
• Sheila Marie Bolton-Walden, LMP
• Thomas John Boone, M.D.
• Tara Borders Dollar
• Robin D Bowman, CDP
• Rebekah M Brazeau
• Debra J Brewer, LMP

• Medical Physician Assistant in Chewelah, WA
• Providers in Chewelah, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.