Nathanael Kenton Boone, PA-C
Individual provider Active NPI Medical Physician Assistant · Franklin, IN
NPI 1952178295 · NPPES record last updated May 16, 2025
Key facts
- NPI
- 1952178295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 10004369A (IN)
- Practice address
- 2087 Acorn Blvd
Franklin, IN 46131-7306 - Phone
- (317) 738-8095
- NPI assigned
- Dec 6, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iu Health Medical Group LLC
Practice addresses (Care Compare)
1111 N Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 944-7744
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
- Iu Health West Hospital
- Indiana University Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240515002640 | IN | Practitioner - Physician Assistant | 5294176707 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10004369A | IN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Medical Physician Assistant | 363AM0700X | 10004369A | IN | Yes |
Addresses
Primary practice location
2087 Acorn Blvd
Franklin, IN 46131-7306
Mailing address
2087 Acorn Blvd
Franklin, IN 46131-7306
Phone (317) 738-8095
Other practice location 1
550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 944-0920
Other practice location 2
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300090407 | Medicaid | IN | |
| 3000940407 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nboone@direct.iuhealth.org | Direct | |
| Direct Messaging Address | nboone@direct.iuhealth.org | Direct |
Other providers in Franklin, IN
- Jaycie Blanford
- Jennifer D Blevins
- Blue Iris Optometry
- Alejandro Enrique Bolivar
- Alaina Lynn Boomershine
- Brandon Boshaw
- David Alan Bossard
- Carolyn Victoria Bowden
- Michael D Boyer
- Christina Dawn Bradburn
All providers in Franklin, IN · Medical Physician Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.