NICOLE LYNN BOONE PA
NPI 1013354224
Physician Assistant - Surgical in Hartford, CT

Q: What is Nicole Boone's NPI number?

The NPI number for Nicole Boone is 1013354224. It was assigned to this individual provider in the NPPES registry on May 29, 2013.

Q: What is Nicole Boone's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Boone was last updated on January 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 29, 2013PECOS Enrolled

282 WASHINGTON ST, HARTFORD, CT 06106(860) 545-9000 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 15, 2020, Nov 8, 2017 (2 updates tracked since 2017).

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About Nicole Lynn Boone Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE LYNN BOONE PA (NPI 1013354224) is an individual surgical provider in Hartford, Connecticut, licensed in Massachusetts (PA5678) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013354224

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameNICOLE LYNN BOONECredential: PA

Location Address282 WASHINGTON STHartford, CT 06106-3322

Mailing Address280 Chestnut Street, 2nd FlSpringfield, MA 01199-1001 · (413) 794-3909 · Fax (413) 794-1629

Phone(860) 545-9000

Sole ProprietorNo

Enumeration DateMay 29, 2013

Last NPPES UpdateJanuary 15, 20202 updates tracked since enumeration

✔ NPI 1013354224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in MA · PA5678

282 WASHINGTON ST, Hartford, CT 06106

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Lynn Boone Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARRIS B LEOPOLD M.D.

Pediatrics (Pediatric Cardiology)

282 WASHINGTON ST, SUITE 2B
HARTFORD, CT 06106

Capitol Planning Region (860) 545-9216

MRS. CHRISTINE COSENZA PA

Physician Assistant (Medical)

282 WASHINGTON ST, HARTFORD
HARTFORD, CT 06106

Capitol Planning Region (860) 545-8954

ARNOLD ALTMAN MD

Pediatrics (Pediatric Hematology-Oncology)