NPIMap

Individual provider Active NPI

Cheyenne Allen Boone, PA-C

  • Physician Assistant
  • Albany, NY
National Provider Identifier
1477923019
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA53516 Issued in CA
Practice address
47 New Scotland Ave MC-139
Albany Medical Center Dept Emergency Medicine
Albany, NY 12208-3412
Phone
(518) 262-3131
Fax
(518) 262-3236
NPI assigned
Sep 25, 2015
Last updated
Oct 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019116 NY
Physician Assistant 363A00000X PA53516 CA Primary

Addresses

Primary practice location

47 New Scotland Ave MC-139
Albany Medical Center Dept Emergency Medicine
Albany, NY 12208-3412

Mailing address

43 New Scotland Ave
Albany, NY 12208-3412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161026000361 CA Practitioner - Physician Assistant 5496065013 Reassigns benefits to 1 organization
I20180724000304 NC Practitioner - Physician Assistant 5496065013 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians
North Carolina Emergency Physicians PLLCGroup PAC ID 1355254947, 22 clinicians

Practice addresses (Care Compare)

500 Lauchwood Dr
Laurinburg, NC 28352-5501

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.49 of 100Reported as group
Quality
89.76
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56516CAMDPhysician Assistant
PA53516CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Memorial Hospital Inc CurrentSince Feb 4, 2025 Accepting new patients
Scotland Memorial Hospital Inc Physician Assistant CurrentSince Feb 4, 2025 Accepting new patients
Cep America-California CurrentSince Nov 1, 2016 Accepting new patients
Cep America - California CurrentSince Nov 1, 2016 Accepting new patients
Harris Family Practice PLLC Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1477923019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE MC-139",
            "address_2": "ALBANY MEDICAL CENTER DEPT EMERGENCY MEDICINE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-3131",
            "fax_number": "518-262-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "CHEYENNE",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-25",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019116",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA53516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.