Individual provider Active NPI

Michelle Sovern Boyer, PA-C

  • Medical Physician Assistant
  • Oakwood, OH
National Provider Identifier
1447493036
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50.002895 Issued in OH
Practice address
1110 Oakwood Ave
Oakwood, OH 45419-2911
Phone
(937) 885-7163
Fax
(937) 567-0670
NPI assigned
Apr 12, 2009
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.002895 OH Primary

Addresses

Primary practice location

1110 Oakwood Ave
Oakwood, OH 45419-2911

Mailing address

7792 Misty Shore Dr
West Chester, OH 45069-9645
Phone (937) 885-7163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090611000355 OH Practitioner - Physician Assistant 5698825701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Geriatric Care, LLCGroup PAC ID 3476642901, 9 clinicians

Practice addresses (Care Compare)

10400 Randall Park Dr
Centerville, OH 45458-5810
Phone (937) 885-7163

1110 Oakwood Ave
Oakwood, OH 45419-2911
Phone (419) 206-1249

3218 Indian Ripple Rd
Dayton, OH 45440-3637
Phone (937) 426-8481

6451 Far Hills Ave
Dayton, OH 45459-2725
Phone (937) 885-7163

Merit-based Incentive Payment System (MIPS)

Final score
98.18 of 100Reported as group
Quality
97.36
Improvement activities
40
Cost
64.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.002895OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Visiting Physicians, PLLC PastSince Oct 1, 2022 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1239494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1447493036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7792 MISTY SHORE DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450699645",
            "telephone_number": "937-885-7163",
            "fax_number": "937-885-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 OAKWOOD AVE",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "454192911",
            "telephone_number": "937-885-7163",
            "fax_number": "937-567-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "MICHELLE",
        "middle_name": "SOVERN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-12",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.002895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakwood, OH

Sources for this page

Verify at the official NPI Registry.