MR. COREY KENNETH BOEMER PA
NPI 1841714425
Physician Assistant in Indianapolis, IN

Q: What is Corey Boemer's NPI number?

The NPI number for Corey Boemer is 1841714425. It was assigned to this individual provider in the NPPES registry on July 26, 2017.

Q: What is Corey Boemer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Corey Boemer was last updated on May 8, 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.

Active since July 26, 2017PECOS Enrolled

1500 N RITTER AVE, INDIANAPOLIS, IN 46219(317) 355-5041 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 8, 2024, Jul 22, 2021, Jun 25, 2021 and 2 more (5 updates tracked since 2017).

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About Mr. Corey Kenneth Boemer Pa NPPES

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

MR. COREY KENNETH BOEMER PA (NPI 1841714425) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (1143433) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1841714425

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. COREY KENNETH BOEMERCredential: PA

Location Address1500 N RITTER AVEIndianapolis, IN 46219-3027

Mailing Address2035 Broadway StIndianapolis, IN 46202-1760 · (314) 779-8531

Phone(317) 355-5041

Sole ProprietorNo

Enumeration DateJuly 26, 2017

Last NPPES UpdateMay 8, 20245 updates tracked since enumeration

NPPES CertifiedMay 8, 2024

✔ NPI 1841714425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 1143433

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1500 N RITTER AVE, Indianapolis, IN 46219

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Secondary Practice Location 1

Location 18402 Harcourt Rd Ste 125Indianapolis, IN 46260-2094 · Phone (317) 802-2000

Other Identifiers 1

Medicaid300011180IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Corey Kenneth Boemer Pa 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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

23 services23 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46219 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

ANN BISHOP

Registered Nurse (Critical Care Medicine)