KATI BOOMGARDEN FNP
NPI 1326577552
Nurse Practitioner - Family in Red Bluff, CA

Active since June 10, 2017PECOS EnrolledAccepts Medicare Assignment
76.66/100
CMS Quality Rating
2540 SISTER MARY COLUMBA DR, RED BLUFF, CA 96080(530) 690-2827 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Mar 17, 2018, Jan 9, 2018 and 1 more (4 updates tracked since 2017).

About Kati Boomgarden Fnp NPPES

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

KATI BOOMGARDEN FNP (NPI 1326577552) is an individual family provider in Red Bluff, California, licensed in California (95007884) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1326577552
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATI BOOMGARDENCredential: FNP
Location Address2540 SISTER MARY COLUMBA DRRed Bluff, CA 96080-4327
Mailing Address2540 Sister Mary Columba DrRed Bluff, CA 96080-4327
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 10, 2017
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
NPI 1326577552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95007884
Also ListedRegistered NurseTaxonomy 163W00000X · License 845076 (CA)
2540 SISTER MARY COLUMBA DR, Red Bluff, CA 96080

Secondary Practice Location 1

Location 16070 Meeks WaySacramento, CA 95835-1923 · Phone (530) 921-9021

Other Identifiers 3

Other845076CA · Board Of Registered Nursing
OtherF12170087Aanp: Certification
Other9500784CA · Board Of Registered Nursing

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

Kati Boomgarden Fnp 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 ID1456606870
PECOS Enrollment IDI20230106000925
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 9

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
147 services53 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
120 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services57 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services19 patients
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.
30 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96080 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

76.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.21
Promoting Interoperability100
Improvement Activities40
Cost56.9

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers16 claims34 services$5.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$89.55 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$210.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Orthopaedic Surgery
2540 SISTER MARY COLUMBA DR
RED BLUFF, CA 96080
Dental Hygienist
2540 SISTER MARY COLUMBA DR
RED BLUFF, CA 96080
Physician Assistant
2540 SISTER MARY COLUMBA DR
RED BLUFF, CA 96080
Dental Hygienist
2540 SISTER MARY COLUMBA DR
RED BLUFF, CA 96080
Clinic/Center (Federally Qualified Health Center (FQHC))
2540 SISTER MARY COLUMBA DR
RED BLUFF, CA 96080
Dental Hygienist
2540 SISTER MARY COLUMBA DR
RED BLUFF, CA 96080
Physician Assistant (Medical)
2540 SISTER MARY COLUMBA DR
RED BLUFF, CA 96080
Orthopaedic Surgery
2540 SISTER MARY COLUMBA DR
RED BLUFF, CA 96080

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 Kati Boomgarden's NPI number?

The NPI number for Kati Boomgarden is 1326577552. It was assigned to this individual provider in the NPPES registry on June 10, 2017.

Where is Kati Boomgarden located?

Kati Boomgarden practices at 2540 Sister Mary Columba Dr, Red Bluff, CA 96080. The listed phone number is (530) 690-2827.

What is Kati Boomgarden's specialty?

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

Is Kati Boomgarden enrolled in Medicare?

Yes. Kati Boomgarden 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 Kati Boomgarden was last updated on March 7, 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.