THEORAM MICHAEL BOONE FNP-C
NPI 1376320077
Nurse Practitioner - Family in Corvallis, OR

Active since September 14, 2023PECOS EnrolledAccepts Medicare Assignment
3680 NW SAMARITAN DR STE 100, CORVALLIS, OR 97330(541) 754-1150 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theoram Michael Boone Fnp-c NPPES

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

THEORAM MICHAEL BOONE FNP-C (NPI 1376320077) is an individual family provider in Corvallis, Oregon, licensed in Oregon (10005506) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1376320077
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTHEORAM MICHAEL BOONECredential: FNP-C
Location Address3680 NW SAMARITAN DR STE 100Corvallis, OR 97330-3737
Mailing Address444 Nw Elks DrCorvallis, OR 97330-3745 · (541) 754-1150
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 14, 2023
Last NPPES UpdateJanuary 21, 2026
NPPES CertifiedJanuary 21, 2026
NPI 1376320077 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 OR · 10005506
3680 NW SAMARITAN DR STE 100, Corvallis, OR 97330

Secondary Practice Locations 3

Location 15940 Ulali Dr NEKeizer, OR 97303-1500 · Phone (800) 813-2000
Location 25125 Skyline Rd SSalem, OR 97306-9413 · Phone (503) 813-2000
Location 32400 Lancaster Dr NESalem, OR 97305-1297 · Phone (800) 813-2000

Accepted Insurance

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

Theoram Michael Boone Fnp-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.

PECOS PAC ID4183071210
PECOS Enrollment IDI20231113000634
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 97330 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Other Providers at the Same Location NPPES

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

Clinic/Center (Urgent Care)
3680 NW SAMARITAN DR STE 100
CORVALLIS, OR 97330

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 Theoram Boone's NPI number?

The NPI number for Theoram Boone is 1376320077. It was assigned to this individual provider in the NPPES registry on September 14, 2023.

Where is Theoram Boone located?

Theoram Boone practices at 3680 NW Samaritan Dr Ste 100, Corvallis, OR 97330. The listed phone number is (541) 754-1150.

What is Theoram Boone's specialty?

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

Is Theoram Boone enrolled in Medicare?

Yes. Theoram Boone 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.

What insurance does Theoram Boone accept?

Health plans from Kaiser Permanente list Theoram Boone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theoram Boone was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.