DR. MIRA BOONE MD
NPI 1053511642
Hospitalist in North Wilkesboro, NC
About Dr. Mira Boone Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MIRA BOONE MD (NPI 1053511642) is an individual hospitalist provider in North Wilkesboro, North Carolina, licensed in North Carolina (2008-00571) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Brody School Of Medicine At East Carolina University (2004).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mira Boone Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mira Boone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Winston Salem, NC 27157
- Reassigned Medicare billing, North Carolina enrollment
- 3,003 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Carolina Baptist Hospital
Acute Care Hospitals · Winston-Salem, NCWilkes Regional Medical Center
Acute Care Hospitals · North Wilkesboro, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28659 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mira Boone's NPI number?
The NPI number for Mira Boone is 1053511642. It was assigned to this individual provider in the NPPES registry on July 20, 2007.
Where is Mira Boone located?
Mira Boone practices at 1534 W D St, North Wilkesboro, NC 28659. The listed phone number is (336) 667-4178.
What is Mira Boone's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Mira Boone enrolled in Medicare?
Yes. Mira Boone is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mira Boone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mira Boone reassigns Medicare benefits to Wake Forest University Health Sciences (Winston Salem, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mira Boone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mira Boone accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Mira Boone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Mira Boone affiliated with any hospitals?
According to CMS data, Mira Boone is affiliated with North Carolina Baptist Hospital and Wilkes Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Mira Boone was last updated on May 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Mira Boone, MD · NPI 1053511642
Hospitalist physician in North Wilkesboro, North Carolina. Individual provider, active in the CMS NPPES registry since July 20, 2007.
## Identity
- **NPI:** 1053511642 (Entity type: Individual)
- **Enumerated:** July 20, 2007
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 2008-00571 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1534 W D ST, North Wilkesboro, NC 28659-3528
- **Phone:** (336) 667-4178 · **Fax:** (336) 667-0938
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Wake Forest University Health Sciences (NPI 1003803032, Winston Salem, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Brody School Of Medicine At East Carolina University, class of 2004
## Record status
- **NPPES last updated:** May 8, 2018
- **Other identifiers:** Medicaid 5909947 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1053511642) · Data from the CMS NPPES public registry.