Individual provider Active NPI

Deborah L Boan, NP

  • Family Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1649670654
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171931 Issued in VA
Practice address
11828 Canon Blvd
Newport News, VA 23606-2554
Phone
(757) 599-4922
Fax
(757) 599-4927
NPI assigned
Aug 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024171931 VA Primary

Addresses

Primary practice location

11828 Canon Blvd
Newport News, VA 23606-2554

Mailing address

244 Grandville Arch
Smithfield, VA 23430-6150
Phone (757) 338-6524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20141229002115 VA Practitioner - Nurse Practitioner 1951624832 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Spring Emergency Group LLCGroup PAC ID 6406103498, 51 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Kingsford Emergency Group, LLCGroup PAC ID 3870841117, 14 clinicians

Practice addresses (Care Compare)

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000

200 Hospital Dr
Galax, VA 24333-2227
Phone (276) 236-8181

2400 Lee Hwy N
Pulaski, VA 24301-2326
Phone (540) 994-8100

Merit-based Incentive Payment System (MIPS)

Final score
84.24 of 100Reported as group
Quality
75.4
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024171931VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsford Emergency Group, LLC CurrentSince May 20, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Feb 1, 2016 Accepting new patients
Mep Health, LLC CurrentSince Sep 28, 2022 Accepting new patients
Emergency Coverage, LLC CurrentSince Nov 1, 2024 Accepting new patients
Lake Spring Emergency Group, LLC CurrentSince Apr 12, 2025 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Feb 1, 2016 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

3000 Coliseum Dr
Hampton, VA 23666
Phone (757) 736-1000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

1 Arh Ln
Low Moor, VA 24457
Phone (540) 862-6223

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100

2706 Ogden Rd
Roanoke, VA 24018
Phone (540) 970-8000

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

12825 Minnieville Rd
Woodbridge, VA 22192
Phone (703) 523-9800

Organizations & group practices 8

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": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1649670654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 GRANDVILLE ARCH",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234306150",
            "telephone_number": "757-338-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11828 CANON BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062554",
            "telephone_number": "757-599-4922",
            "fax_number": "757-599-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAN",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.