RENEE ELENA BOAZ NP-C
NPI 1215643465
Nurse Practitioner - Family in Northridge, CA
About Renee Elena Boaz Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENEE ELENA BOAZ NP-C (NPI 1215643465) is an individual family provider in Northridge, California, licensed in California (95017709) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Woodland Hills, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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
Renee Elena Boaz Np-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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91325 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
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 Renee Boaz's NPI number?
The NPI number for Renee Boaz is 1215643465. It was assigned to this individual provider in the NPPES registry on January 30, 2023.
Where is Renee Boaz located?
Renee Boaz practices at 17075 Devonshire St Ste 209, Northridge, CA 91325. The listed phone number is (818) 832-7805.
What is Renee Boaz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Renee Boaz enrolled in Medicare?
Yes. Renee Boaz 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 Renee Boaz was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Renee Elena Boaz, NP-C · NPI 1215643465
Family physician in Northridge, California. Individual provider, active in the CMS NPPES registry since January 30, 2023.
## Identity
- **NPI:** 1215643465 (Entity type: Individual)
- **Enumerated:** January 30, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95017709 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 17075 DEVONSHIRE ST STE 209, Northridge, CA 91325-5411
- **Phone:** (818) 832-7805 · **Fax:** (818) 832-7802
## 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:** January 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1215643465) · Data from the CMS NPPES public registry.