Laura Boone, PA
Individual provider Active NPI Surgical Physician Assistant · Hartford, CT
NPI 1396745451 · NPPES record last updated Nov 11, 2021
Key facts
- NPI
- 1396745451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 000587 (CT)
- Practice address
- 114 Woodland St
Dept of Surgery
Hartford, CT 06105-1208 - Phone
- (860) 714-4694
- Fax
- (860) 714-8311
- NPI assigned
- Jul 29, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trinity Health of New England Provider Network Organization Inc
Midstate Medical Center
Practice addresses (Care Compare)
114 Woodland St
Hartford, CT 06105-1208
435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 694-8200
Hospital & facility affiliations
- Midstate Medical Center
- St Francis Hospital & Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100122000550 | CT | Practitioner - Physician Assistant | 6305988775 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hospital of Central Connecticut at New Britain General and Bradley | Current |
Accepting new patients | |
| The Hospital of Central Connecticut at New Britain General and Bradley | Current |
Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current |
Accepting new patients | |
| Midstate Medical Center | Current |
Accepting new patients |
Locations
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
Interoperability endpoints
- lboone2389174@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 000587 | CT | Yes |
Addresses
Primary practice location
114 Woodland St
Dept of Surgery
Hartford, CT 06105-1208
Mailing address
1000 Asylum Ave
Suite 2109a
Hartford, CT 06105-1770
Phone (860) 714-6581
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lboone9711@direct.stfranciscare.org | Direct |
Other providers in Hartford, CT
- Manuela Bonett
- John Bonetti
- Robert Emmett Bonner
- Harriet Bonsu
- Nicholas Albert Bontempo
- Nicole Lynn Boone
- Hayley Borchardt
- Brittany Bordonaro
- Steven M Bordonaro
- Steven Michael Borer
All providers in Hartford, CT · Surgical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.