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TRACY BOVA
NPI 1104058791
Nurse Practitioner - Family in Boonville, NY

Active since August 14, 2009PECOS Enrolled
13407 NEW YORK 12, BOONVILLE, NY 13309(315) 942-3500 Get Directions Write a Review

NPPES record last updated: July 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracy Bova NPPES

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

TRACY BOVA (NPI 1104058791) is an individual family provider in Boonville, New York, licensed in New York (338872) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104058791
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRACY BOVA
Location Address13407 NEW YORK 12Boonville, NY 13309
Mailing Address511 Tilden AveUtica, NY 13501-2007
Phone(315) 942-3500
Sole ProprietorNo
Enumeration DateAugust 14, 2009
Last NPPES UpdateJuly 7, 2014
✔ NPI 1104058791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 338872
Also ListedRegistered NurseTaxonomy 163W00000X · License 00676527 (NY)
13407 NEW YORK 12, Boonville, NY 13309
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy Bova 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Tracy Bova's NPI number?

The NPI number for Tracy Bova is 1104058791. It was assigned to this individual provider in the NPPES registry on August 14, 2009.

Where is Tracy Bova located?

Tracy Bova practices at 13407 New York 12, Boonville, NY 13309. The listed phone number is (315) 942-3500.

What is Tracy Bova's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tracy Bova enrolled in Medicare?

Yes. Tracy Bova is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tracy Bova was last updated on July 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.