Individual provider Active NPI

Melissa Gayle Boos, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1447707997
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7400 Merton Minter St
San Antonio, TX 78229-4404
Phone
(210) 616-8385
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX Primary

Addresses

Primary practice location

7400 Merton Minter St
San Antonio, TX 78229-4404

Mailing address

South Texas Veterans Health Care System
7400 Merton Minter Blvd
San Antonio, TX 78229

Other names 1

  • Melissa Gayle Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170105001568 TX Practitioner - Physician Assistant 5698056661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.86 of 100Reported as group
Quality
65.93
Promoting interoperability
94
Improvement activities
40
Cost
71.93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The San Antonio Orthopaedic Group, LLP CurrentSince Nov 5, 2016 Accepting new patients
The San Antonio Orthopaedic Group, LLP CurrentSince Nov 5, 2016 Accepting new patients

Locations

400 Concord Plaza Dr
Ste 300
San Antonio, TX 78216
Phone (210) 804-5416

1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741

19138 US Highway 281 N
Ste 100
San Antonio, TX 78258
Phone (210) 593-1435

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1447707997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SOUTH TEXAS VETERANS HEALTH CARE SYSTEM",
            "address_2": "7400 MERTON MINTER BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 MERTON MINTER ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294404",
            "telephone_number": "210-616-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOS",
        "first_name": "MELISSA",
        "middle_name": "GAYLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "WILSON",
            "middle_name": "GAYLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.