KATHERINE IRENE BOONE
NPI 1215196241
Physician Assistant - Surgical in Indianapolis, IN

NPI Status: Active since June 05, 2008

Contact Information

5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN
ZIP 46237
Phone: (317) 865-4800
Fax: (317) 865-4806

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  • Individual
  • Female
  • Years of Experience 18
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KATHERINE BOONE

This page provides the complete NPI Profile along with additional information for Katherine Boone, a provider established in Indianapolis, Indiana with a medical specialization in Physician Assistant, focusing in surgical and more than 18 years of experience. The healthcare provider is registered in the NPI registry with number 1215196241 assigned on June 2008. The practitioner's primary taxonomy code is 363AS0400X with license number 10001000A (IN). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1215196241
Provider Name
KATHERINE IRENE BOONE
Gender
Female
Entity Type
Individual
Location Address
5255 E STOP 11 RD STE 450 INDIANAPOLIS, IN 46237
Location Phone
(317) 865-4800
Location Fax
(317) 865-4806
Mailing Address
PO BOX 781076 DETROIT, MI 48278
Mailing Phone
(317) 528-4800
Mailing Fax
(317) 865-4806
Medical School Name
OTHER
Graduation Year
2008
Is Sole Proprietor?
No
Enumeration Date
06-05-2008
Last Update Date
03-21-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
10001000A
License State
IN

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

99032721A (IN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
300007527MEDICAID (05)IN 
M400063087OTHER (01)INMEDICARE

Medicare Participation & PECOS Enrollment Status

Katherine Boone is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Katherine Boone is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3870666423

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20080716000012

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Removal of gallbladder using an endoscope

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

This service was performed 27 times for 27 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Katherine Boone is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
FRANCISCAN HEALTH INDIANAPOLIS8111 S EMERSON AVE
INDIANAPOLIS, IN 46237
(317) 528-5000Acute Care Hospitals

Reviews for KATHERINE IRENE BOONE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1215196241, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 2 + 9 + 1 + 2 + 2 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1215196241.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Physician Assistant
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Surgery
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Surgery
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Surgery
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Surgery
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Surgery
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Surgery
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Physician Assistant (Medical)
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Physician Assistant
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Physician Assistant
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Nurse Practitioner (Family)
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Physician Assistant
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Physician Assistant
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Surgery (Surgical Oncology)
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Physician Assistant
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Physician Assistant
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Physician Assistant
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Student in an Organized Health Care Education/Training Program
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Physician Assistant
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215196241, enumerated as an "individual" on June 05, 2008.

The provider is located at 5255 E STOP 11 RD STE 450 INDIANAPOLIS, IN 46237 and the phone number is (317) 865-4800.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Katherine Boone is affiliated with: FRANCISCAN HEALTH INDIANAPOLIS.