Individual provider Active NPI

Boney K. McGone, APRN

  • Family Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1154433597
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN6983412 Issued in FL
Practice address
1472 N Harbor City Blvd
Melbourne, FL 32935-6571
Phone
(321) 574-5376
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60677454 WA
Family Nurse Practitioner 363LF0000X APRN6983412 FL Primary

Addresses

Primary practice location

1472 N Harbor City Blvd
Melbourne, FL 32935-6571

Mailing address

1472 N Harbor City Blvd
Melbourne, FL 32935-6571
Phone (321) 574-5376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20090124000127 FL Practitioner - Nurse Practitioner 2668536376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Space Coast Skin Solutions LLCGroup PAC ID 3375055304, 2 clinicians

Practice addresses (Care Compare)

5839 Snook LN
Grant, FL 32949-2253
Phone (321) 720-2101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60677454WAMDNurse Practitioner
APRN6983412FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Space Coast Skin Solutions LLC Nurse Practitioner CurrentSince Jun 1, 2025 Accepting new patients
Brevard Anesthesia Services PA Nurse Practitioner PastSince Dec 1, 1999 Accepting new patients
Sports and Spine Past Accepting new patients
The Stingl Family Foundation, Inc PastSince May 7, 2016 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1154433597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1472 N HARBOR CITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356571",
            "telephone_number": "321-574-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1472 N HARBOR CITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356571",
            "telephone_number": "321-574-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGONE",
        "first_name": "BONEY",
        "middle_name": "K.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60677454",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN6983412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.