MRS. SHANEQUA BOONE
NPI 1174059919
Nurse Practitioner - Psychiatric/Mental Health in Minnetonka, MN
About Mrs. Shanequa Boone NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHANEQUA BOONE (NPI 1174059919) is an individual psychiatric/mental health provider in Minnetonka, Minnesota, licensed in New York (403688-01) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
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
Mrs. Shanequa Boone 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55343 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Shanequa Boone's NPI number?
The NPI number for Shanequa Boone is 1174059919. It was assigned to this individual provider in the NPPES registry on May 11, 2017. The provider is also known as Shanequa Wilson Np.
Where is Shanequa Boone located?
Shanequa Boone practices at 9900 Bren Rd E, Minnetonka, MN 55343. The listed phone number is (516) 333-5555.
What is Shanequa Boone's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Shanequa Boone enrolled in Medicare?
Yes. Shanequa 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.
When was this NPI record last updated?
The NPPES record for Shanequa Boone was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Mrs. Shanequa Boone · NPI 1174059919
Psychiatric/Mental Health physician in Minnetonka, Minnesota. Individual provider, active in the CMS NPPES registry since May 11, 2017.
## Identity
- **NPI:** 1174059919 (Entity type: Individual)
- **Enumerated:** May 11, 2017
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 403688-01 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9900 BREN RD E, Minnetonka, MN 55343-9664
- **Phone:** (516) 333-5555
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** November 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174059919) · Data from the CMS NPPES public registry.