Roberta Boon, F.N.P.-B.C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP8216 Issued in AZ

Practice address

2355 N Wyatt Dr Ste 101
Tucson, AZ 85712-2120

Phone

(520) 616-4948

Fax

(520) 616-4958

NPI assigned

Jul 16, 2015

Last updated

Jun 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mrs. Roberta Browning Boon Professional name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

I Am Wellness Az LLCGroup PAC ID 8123497344, 35 clinicians

Progressive Pain Management IncGroup PAC ID 1153490727, 32 clinicians

Hope Diabetes Center LLCGroup PAC ID 4183620487, 23 clinicians

Advanced Minimally Invasive SurgicalGroup PAC ID 4183758527, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Advanced Minimally Invasive Surgical

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1295056919
  Medicare reassignment Care Compare group NPD
• Hope Diabetes Center, LLC

  dba Clinica Esperanza-Hope Primary Care, LLC

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1104865757
  Medicare reassignment Care Compare group NPD
• I Am Wellness Az LLC

  • Adult Medicine Physician
  • Chandler, AZ
  • NPI 1184354532
  Medicare reassignment Care Compare group NPD
• Progressive Pain Management Inc

  • Interventional Pain Medicine Physician
  • Casa Grande, AZ
  • NPI 1881866754
  Medicare reassignment Care Compare group NPD
• Michael F Esber DPM PC

  • Foot Surgery Podiatrist
  • Sun City West, AZ
  • NPI 1902907504
  Medicare reassignment NPD
• Maria Gonzalez Berlari, MD LLC

  dba GB Family Care, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1699025981
  Medicare reassignment
• Advanced Minimally Invasive Surgical

  dba Arizona Foot Health Center

  • Podiatrist
  • Sun City West, AZ
  • NPI 1992486138
  NPD
• Canyonlands Community Health Care

  dba Canyonlands Health Care - Clifton

  • Federally Qualified Health Center (FQHC)
  • Clifton, AZ
  • NPI 1134568660
  NPD (past)
• Casa Grande ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Chandler, AZ
  • NPI 1588501068
  NPD (past)
• Marana Health Center, Inc

  dba MHC Integrated Care Pharmacy

  • Clinic Pharmacy
  • Tucson, AZ
  • NPI 1073072450
  NPD (past)
• New Vida Medical LLC

  • Clinic/Center
  • Mesa, AZ
  • NPI 1508689274
  NPD (past)

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1942684253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856530188",
            "telephone_number": "520-682-4111",
            "fax_number": "520-682-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 N WYATT DR STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122120",
            "telephone_number": "520-616-4948",
            "fax_number": "520-616-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOON",
        "first_name": "ROBERTA",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.-B.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "1091692",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8216",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "KY",
            "license": "1091692",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087936",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTA",
            "last_name": "BOON",
            "middle_name": "BROWNING",
            "prefix": "MRS.",
            "credential": "F.N.P.-B.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Marlene Sue Boock
• Rebecca L Boocker, MS, CCC-SLP
• Lillian Dean Book
• Otis R Booker Jr.
• Michael Arnold Bookman, M.D.
• Quentin Boose
• Boost Counseling Services, PLLC
• J. Lyle Bootman, PH.D.
• Samhita Chowdhary Boppana, MD
• Bor Surgical First Assist PLLC

• Family Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.