DONNA LEE BOEHM ANP
NPI 1255523973
Nurse Practitioner - Adult Health in Stony Brook, NY

Q: What is Donna Boehm's NPI number?

The NPI number for Donna Boehm is 1255523973. It was assigned to this individual provider in the NPPES registry on August 16, 2007.

Q: What is Donna Boehm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Donna Boehm was last updated on December 7, 2022. 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.

Active since August 16, 2007PECOS Enrolled

98.52/100

CMS Quality Rating

1320 STONY BROOK RD STE 100, STONY BROOK, NY 11790(631) 941-2273(631) 941-2501 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2022, Jan 22, 2020, Mar 1, 2019 and 1 more (4 updates tracked since 2019).

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About Donna Lee Boehm Anp NPPES

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

DONNA LEE BOEHM ANP (NPI 1255523973) is an individual adult health provider in Stony Brook, New York, licensed in New York (F303323-01) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255523973

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameDONNA LEE BOEHMCredential: ANP

Location Address1320 STONY BROOK RD STE 100Stony Brook, NY 11790-2222

Mailing Address45 Research Way Ste 105East Setauket, NY 11733-6401 · (631) 638-3240 · Fax (631) 350-7143

Phone(631) 941-2273

Fax(631) 941-2501

Sole ProprietorNo

Enumeration DateAugust 16, 2007

Last NPPES UpdateDecember 7, 20224 updates tracked since enumeration

NPPES CertifiedDecember 7, 2022

✔ NPI 1255523973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F303323-01

1320 STONY BROOK RD STE 100, Stony Brook, NY 11790

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Other Identifiers 1

Medicaid05459889NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donna Lee Boehm Anp 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 11790 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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.

98.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.85

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEREMY FERTEL MD

Internal Medicine (Cardiovascular Disease)