COLLINS BOAMPONG
NPI 1225449622
Nurse Practitioner - Family in Rancho Cucamonga, CA

Active since May 19, 2014PECOS EnrolledAccepts Medicare Assignment
10935 TERRA VISTA PKWY APT 244, RANCHO CUCAMONGA, CA 91730(909) 944-3205 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Collins Boampong NPPES

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

COLLINS BOAMPONG (NPI 1225449622) is an individual family provider in Rancho Cucamonga, California, licensed in California (NP950000655) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1225449622
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCOLLINS BOAMPONG
Location Address10935 TERRA VISTA PKWY APT 244Rancho Cucamonga, CA 91730-6360
Mailing Address1805 Medical Center DrSan Bernardino, CA 92411-1217 · (909) 887-6333
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 19, 2014
Last NPPES UpdateOctober 19, 2020
NPPES CertifiedOctober 19, 2020
NPI 1225449622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · NP950000655
10935 TERRA VISTA PKWY APT 244, Rancho Cucamonga, CA 91730

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

Collins Boampong 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 ID3072802289
PECOS Enrollment IDI20160511001342
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.

Areas of Expertise CMS Part B claims 2

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.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
36 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Collins Boampong's NPI number?

The NPI number for Collins Boampong is 1225449622. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Where is Collins Boampong located?

Collins Boampong practices at 10935 Terra Vista Pkwy Apt 244, Rancho Cucamonga, CA 91730. The listed phone number is (909) 944-3205.

What is Collins Boampong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Collins Boampong enrolled in Medicare?

Yes. Collins Boampong 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 Collins Boampong was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.