ASHLEY LAUREN BOONNAM FNP-BC
NPI 1417521501
Nurse Practitioner in West Allis, WI

Q: What is Ashley Boonnam's NPI number?

The NPI number for Ashley Boonnam is 1417521501. It was assigned to this individual provider in the NPPES registry on May 13, 2021.

Q: What is Ashley Boonnam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Ashley Boonnam was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 13, 2021PECOS EnrolledAccepts Medicare Assignment

8905 W LINCOLN AVE STE 501, WEST ALLIS, WI 53227(414) 978-2229(414) 378-2279 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 24, 2021, Oct 4, 2021, May 13, 2021 (3 updates tracked since 2021).

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About Ashley Lauren Boonnam Fnp-bc NPPES

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

ASHLEY LAUREN BOONNAM FNP-BC (NPI 1417521501) is an individual nurse practitioner in West Allis, Wisconsin, licensed in Wisconsin (10616) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417521501

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameASHLEY LAUREN BOONNAMCredential: FNP-BC

Location Address8905 W LINCOLN AVE STE 501West Allis, WI 53227-2470

Mailing Address8905 W Lincoln Ave Ste 501West Allis, WI 53227-2470 · (414) 978-2229 · Fax (414) 378-2279

Phone(414) 978-2229

Fax(414) 378-2279

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 13, 2021

Last NPPES UpdateNovember 24, 20213 updates tracked since enumeration

NPPES CertifiedNovember 24, 2021

✔ NPI 1417521501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 10616

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 10616-33 (WI)

8905 W LINCOLN AVE STE 501, West Allis, WI 53227

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Other Identifiers 1

Medicaid100178967WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Ashley Lauren Boonnam Fnp-bc 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 ID8729484662

PECOS Enrollment IDI20210901001815

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 53227 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

BRANDON KUCHTA DO

Obstetrics & Gynecology

8905 W LINCOLN AVE STE 501
WEST ALLIS, WI 53227

Milwaukee County (414) 978-2229

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 Ashley Boonnam's NPI number?

The NPI number for Ashley Boonnam is 1417521501. It was assigned to this individual provider in the NPPES registry on May 13, 2021.

Where is Ashley Boonnam located?

Ashley Boonnam practices at 8905 W Lincoln Ave Ste 501, West Allis, WI 53227. The listed phone number is (414) 978-2229.

What is Ashley Boonnam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ashley Boonnam enrolled in Medicare?

Yes. Ashley Boonnam 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 Ashley Boonnam accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Ashley Boonnam 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 Ashley Boonnam was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.