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KAMERA SAKEENA BOGGON AGNP -C
NPI 1700247772
Nurse Practitioner - Psychiatric/Mental Health in Detroit, MI

Active since March 17, 2016PECOS Enrolled
6309 MACK AVE, DETROIT, MI 48207(313) 478-6204 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 14, 2024, Nov 10, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Kamera Sakeena Boggon Agnp -c NPPES

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

KAMERA SAKEENA BOGGON AGNP -C (NPI 1700247772) is an individual psychiatric/mental health provider in Detroit, Michigan, licensed in Michigan (4704248431) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1700247772
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKAMERA SAKEENA BOGGONCredential: AGNP -C
Location Address6309 MACK AVEDetroit, MI 48207-2302
Mailing Address6309 Mack AveDetroit, MI 48207-2302 · (313) 478-6204
Phone(313) 478-6204
Sole ProprietorYes
Enumeration DateMarch 17, 2016
Last NPPES UpdateJune 14, 20245 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
✔ NPI 1700247772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MI · 4704248431✔ Licensed in MI · 704248431
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 4704248431 (MI)
6309 MACK AVE, Detroit, MI 48207
Open in Google Maps ↗

Secondary Practice Location 1

Location 122355 W. 8 mile rdDetroit, MI 48219 · Phone (313) 255-6450 ext. 128

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kamera Sakeena Boggon Agnp -c 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kamera Boggon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Downriver Mental Health Clinic PC
9.9 mi
Mental Health (Including Community Mental Health Center)
24715 LITTLE MACK AVE, SUITE 200
Saint Clair Shores, MI 48080
  • Reassigned Medicare billing, Michigan enrollment
  • 451 clinicians in this Medicare group
NPI 1598893141 (586) 777-9000
Exclusive Physicians PLLC
25 mi
Multi-Specialty
911 E 9 MILE RD
Ferndale, MI 48220
  • Reassigned Medicare billing, Michigan enrollment
  • 44 clinicians in this Medicare group
NPI 1811226749 (248) 336-4000
Paragon Clinical LLC
255 mi
Nurse Practitioner
1333 BURR RIDGE PKWY STE 200
Burr Ridge, IL 60527
  • Reassigned Medicare billing, Michigan enrollment
  • 27 clinicians in this Medicare group
NPI 1114139946 (630) 832-1775

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48207 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 20

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

ANASTASIA C JIMERSON
Social Worker (Clinical)
6309 MACK AVE
DETROIT, MI 48207
Wayne County (248) 909-1139
JASMINE TAMESHA SMITH
Social Worker
6309 MACK AVE
DETROIT, MI 48207
Wayne County (313) 544-0559
DEVEN ELIZABETH DELESTON
Social Worker (Clinical)
6309 MACK AVE
DETROIT, MI 48207
Wayne County (313) 880-0298
JANELLE ROBINSON-WILLIAMS
Social Worker
6309 MACK AVE
DETROIT, MI 48207
Wayne County (313) 921-4700
DOMONIQUE SMITH
Social Worker
6309 MACK AVE
DETROIT, MI 48207
Wayne County (313) 331-3435
GEORGE EDWIN HILL II SST
Social Worker
6309 MACK AVE
DETROIT, MI 48207
Wayne County (313) 405-4143
SHADORIE ANNE JAMES CCMA
Social Worker (Clinical)
6309 MACK AVE
DETROIT, MI 48207
Wayne County (313) 282-8447
JOI-NAE KIERRA BELL
Social Worker
6309 MACK AVE
DETROIT, MI 48207
Wayne County (313) 878-2167

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 Kamera Boggon's NPI number?

The NPI number for Kamera Boggon is 1700247772. It was assigned to this individual provider in the NPPES registry on March 17, 2016.

Where is Kamera Boggon located?

Kamera Boggon practices at 6309 Mack Ave, Detroit, MI 48207. The listed phone number is (313) 478-6204.

What is Kamera Boggon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kamera Boggon enrolled in Medicare?

Yes. Kamera Boggon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kamera Boggon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kamera Boggon reassigns Medicare benefits to 3 organizations: Downriver Mental Health Clinic PC (Saint Clair Shores, MI), Exclusive Physicians PLLC (Ferndale, MI) and Paragon Clinical LLC (Burr Ridge, IL). Each 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 Kamera Boggon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kamera Boggon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Kamera Boggon 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 Kamera Boggon was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.