Individual provider Active NPI

Leah Boek, MSN FNP-BC

  • Family Nurse Practitioner
  • Boonville, NY
National Provider Identifier
1811659899
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348535 Issued in NY
Practice address
13407 Ny-12
Boonville, NY 13309
Phone
(315) 942-3500
NPI assigned
Oct 7, 2021
Last updated
Oct 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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 348535 NY Primary

Addresses

Primary practice location

13407 Ny-12
Boonville, NY 13309

Mailing address

1588 Eastern Rock Rd
Boonville, NY 13309-4100
Phone (315) 266-7757

Other practice location 1

1588 Eastern Rock Rd
Boonville, NY 13309-4100
Phone (315) 266-7757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20211209002771 NY Practitioner - Nurse Practitioner 6002206885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rome Memorial Hospital, Inc.Group PAC ID 9638087273, 56 clinicians

Practice addresses (Care Compare)

13407 State Route 12
Boonville, NY 13309-4954
Phone (315) 942-3500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
348535NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rome Memorial Hospital, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Rome Memorial Hospital, Inc CurrentSince Nov 1, 2021 Accepting new patients
Rome Memorial Hospital, Inc. Current Accepting new patients

Locations

13407 State Route 12
Boonville, NY 13309
Phone (315) 942-3500

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

Interoperability endpoints

  • Direct secure messaging: lboek@rmh.medalliesdirect.net
  • Direct secure messaging: lboek@rmhclinics.medentdirect.com

Organizations & group practices 3

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 11

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": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1811659899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1588 EASTERN ROCK RD",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "133094100",
            "telephone_number": "315-266-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13407 NY-12",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "13309",
            "telephone_number": "315-942-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1588 Eastern Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Boonville",
            "state": "NY",
            "postal_code": "133094100",
            "country_code": "US",
            "telephone_number": "315-266-7757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOEK",
        "first_name": "LEAH",
        "credential": "MSN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonville, NY

Sources for this page

Verify at the official NPI Registry.