MRS. KATHLEEN A BOONE FNP
NPI 1538143391
Nurse Practitioner - Primary Care in Pawleys Island, SC
About Mrs. Kathleen A Boone Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KATHLEEN A BOONE FNP (NPI 1538143391) is an individual primary care provider in Pawleys Island, South Carolina, licensed in South Carolina (F1372) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Kathleen A Boone 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.
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Boone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pawleys Island, SC 29585
- Reassigned Medicare billing, South Carolina enrollment
- 266 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Musc Medical Center
Acute Care Hospitals · Charleston, SCTidelands Georgetown Memorial Hospital
Acute Care Hospitals · Georgetown, SCTidelands Waccamaw Community Hospital
Acute Care Hospitals · Murrells Inlet, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29585 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 15
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PAWLEYS ISLAND, SC 29585
PAWLEYS ISLAND, SC 29585
PAWLEYS ISLAND, SC 29585
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 Kathleen Boone's NPI number?
The NPI number for Kathleen Boone is 1538143391. It was assigned to this individual provider in the NPPES registry on December 5, 2005.
Where is Kathleen Boone located?
Kathleen Boone practices at 9699 Ocean Hwy Waccmaaw Medical Center, Pawleys Island, SC 29585. The listed phone number is (843) 237-4296.
What is Kathleen Boone's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kathleen Boone enrolled in Medicare?
Yes. Kathleen 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.
Which organization bills Medicare for Kathleen Boone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Boone reassigns Medicare benefits to Georgetown Physician Associates, LLC (Pawleys Island, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Boone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Boone accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Kathleen 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.
Is Kathleen Boone affiliated with any hospitals?
According to CMS data, Kathleen Boone is affiliated with Musc Medical Center, Tidelands Georgetown Memorial Hospital and Tidelands Waccamaw Community Hospital.
When was this NPI record last updated?
The NPPES record for Kathleen Boone was last updated on March 5, 2021. 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.