AMANDA BOMAN
NPI 1720457948
Social Worker - Clinical in Edgerton, WI

Q: What is Amanda Boman's NPI number?

The NPI number for Amanda Boman is 1720457948. It was assigned to this individual provider in the NPPES registry on September 17, 2015.

Q: What is Amanda Boman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Boman was last updated on March 7, 2022. 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 September 17, 2015PECOS Enrolled

11101 N SHERMAN RD, EDGERTON, WI 53534(608) 884-3441 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Amanda Boman NPPES

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

AMANDA BOMAN (NPI 1720457948) is an individual clinical provider in Edgerton, Wisconsin and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1720457948

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameAMANDA BOMAN

Location Address11101 N SHERMAN RDEdgerton, WI 53534-9002

Mailing Address11101 N Sherman RdEdgerton, WI 53534-9002

Phone(608) 884-3441

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateSeptember 17, 2015

Last NPPES UpdateMarch 7, 2022

NPPES CertifiedMarch 7, 2022

✔ NPI 1720457948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

11101 N SHERMAN RD, Edgerton, WI 53534

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Boman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335607134

PECOS Enrollment IDI20260820004606

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 Reassignment

Medicare enrollment records show Amanda Boman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Meriter Hospital, Inc.

24 mi

General Practice

202 S PARK ST
Madison, WI 53715

Reassigned Medicare billing, Wisconsin enrollment
164 clinicians in this Medicare group

NPI 1548635345 (608) 417-6000

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 53534 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

$0.00 typical visit price

range $53.90 – $163.24

Typical copayment $0.00 (range $13.47 – $40.81)

Most-billed visit code NA

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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.

CRYSTAL J ENDRES NP

Nurse Practitioner