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CARLA BOAN PA-C
NPI 1164904413
Physician Assistant in Phoenix, AZ

Active since September 04, 2018PECOS Enrolled
20440 N 27TH AVE, PHOENIX, AZ 85027(480) 882-4545 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2022, Nov 29, 2018, Sep 4, 2018 (3 updates tracked since 2018).

About Carla Boan Pa-c NPPES

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

CARLA BOAN PA-C (NPI 1164904413) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (7243) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164904413
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCARLA BOANCredential: PA-C
Location Address20440 N 27TH AVEPhoenix, AZ 85027-3240
Mailing Address7500 N Dreamy Draw Dr Ste 145Phoenix, AZ 85020-4668 · (480) 882-4545 · Fax (480) 882-5814
Phone(480) 882-4545
Sole ProprietorYes
Enumeration DateSeptember 4, 2018
Last NPPES UpdateJanuary 26, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2024
✔ NPI 1164904413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 7243
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
20440 N 27TH AVE, Phoenix, AZ 85027
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Other Identifiers 1

Medicaid453058AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carla Boan Pa-c 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 85027 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NANETTE M KLAUS LPC
Counselor (Mental Health)
20440 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (480) 882-4545
DR. MELISSA MOLYNEUX MD
Family Medicine
20440 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (480) 882-4545
LESE LACKEY LPC
Counselor (Professional)
20440 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (480) 882-4545
SARAH HUBER FNP
Nurse Practitioner (Family)
20440 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (480) 882-4545
ALYSSA L FAGAN-CLARK LCSW
Social Worker (Clinical)
20440 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (480) 882-4545
DR. GEORGINA A ADJEI MD
Family Medicine
20440 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (480) 882-4545
ALEXANDER CLABOURNE RDN
Dietitian, Registered
20440 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (480) 882-4545
GRACEANNE CAREW FNP-C
Nurse Practitioner (Family)
20440 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (480) 882-4545

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 Carla Boan's NPI number?

The NPI number for Carla Boan is 1164904413. It was assigned to this individual provider in the NPPES registry on September 4, 2018.

Where is Carla Boan located?

Carla Boan practices at 20440 N 27th Ave, Phoenix, AZ 85027. The listed phone number is (480) 882-4545.

What is Carla Boan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carla Boan enrolled in Medicare?

Yes. Carla Boan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carla Boan was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.