MS. KIMBERLY P BOE PA-C
NPI 1144523473
Physician Assistant - Surgical in Portland, OR

Active since December 08, 2010PECOS EnrolledAccepts Medicare Assignment
88.67/100
CMS Quality Rating
501 N GRAHAM ST, STE 415, PORTLAND, OR 97227(503) 413-3580(503) 413-3578 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2022, Feb 19, 2016 (2 updates tracked since 2016).

About Ms. Kimberly P Boe Pa-c NPPES

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

MS. KIMBERLY P BOE PA-C (NPI 1144523473) is an individual surgical provider in Portland, Oregon, licensed in Oregon (172044) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1144523473
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. KIMBERLY P BOECredential: PA-C
Location Address501 N GRAHAM ST, STE 415Portland, OR 97227-1654
Mailing AddressPo Box 3777Portland, OR 97208-3777 · (503) 413-3900 · Fax (503) 413-3710
Fax(503) 413-3578
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 8, 2010
Last NPPES UpdateDecember 9, 20222 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
NPI 1144523473 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
Licenses Licensed in OR · 172044 Licensed in WA · 60615487
501 N GRAHAM ST, Portland, OR 97227

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Kimberly P Boe Pa-c 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.

PECOS PAC ID1456524248
PECOS Enrollment IDI20160126002586, I20160126002691
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Legacy Salmon Creek Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500150
Location2211 NE 139th StreetVancouver, WA 98686 · Clark County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.54
Promoting Interoperability100
Improvement Activities40
Cost70.7

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.

Physician Assistant
501 N GRAHAM ST, SUITE #580
PORTLAND, OR 97227
Prosthetic/Orthotic Supplier
501 N GRAHAM ST, STE 255
PORTLAND, OR 97227
Nurse Practitioner (Pediatrics)
501 N GRAHAM ST
PORTLAND, OR 97227
Pediatrics (Pediatric Endocrinology)
501 N GRAHAM ST, SUITE 375
PORTLAND, OR 97227
Surgery
501 N GRAHAM ST, SUITE 555
PORTLAND, OR 97227
Clinic/Center
501 N GRAHAM ST, SUITE 375
PORTLAND, OR 97227
Nurse Practitioner (Pediatrics)
501 N GRAHAM ST, SUITE 355
PORTLAND, OR 97227
Surgery (Pediatric Surgery)
501 N GRAHAM ST, MOB 2 SUITE 300
PORTLAND, OR 97227

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 Kimberly Boe's NPI number?

The NPI number for Kimberly Boe is 1144523473. It was assigned to this individual provider in the NPPES registry on December 8, 2010.

Where is Kimberly Boe located?

Kimberly Boe practices at 501 N Graham St Ste 415, Portland, OR 97227. The listed phone number is (503) 413-3580.

What is Kimberly Boe's specialty?

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

Is Kimberly Boe enrolled in Medicare?

Yes. Kimberly Boe 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.

What insurance does Kimberly Boe accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Kimberly Boe 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 Kimberly Boe affiliated with any hospitals?

According to CMS data, Kimberly Boe is affiliated with Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center and Legacy Salmon Creek Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Boe was last updated on December 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.