KATHRYN DENISE BOOMER PA-C
NPI 1891270674
Physician Assistant - Medical in Madison, WI

Active since September 27, 2018PECOS EnrolledAccepts Medicare Assignment
77.28/100
CMS Quality Rating
600 HIGHLAND AVE, MADISON, WI 53792(608) 915-0900 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 16, 2025, Feb 3, 2025, Sep 28, 2018 (3 updates tracked since 2018).

About Kathryn Denise Boomer Pa-c NPPES

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

KATHRYN DENISE BOOMER PA-C (NPI 1891270674) is an individual medical provider in Madison, Wisconsin, licensed in Wisconsin (8172-23) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1891270674
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATHRYN DENISE BOOMERCredential: PA-C
Location Address600 HIGHLAND AVEMadison, WI 53792-0001
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 27, 2018
Last NPPES UpdateJune 16, 20253 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
NPI 1891270674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in WI · 8172-23 Licensed in KS · 15-02145
600 HIGHLAND AVE, Madison, WI 53792

Other Names 1

Former Name (1)Kathryn D Bender

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Kathryn Denise Boomer Pa-c 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 ID1759634603
PECOS Enrollment IDI20250114002499
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
49 services44 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

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.

77.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.71
Promoting Interoperability100
Improvement Activities40
Cost50.58

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.

Pharmacist
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792
Ophthalmology
600 HIGHLAND AVE
MADISON, WI 53792
Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Internal Medicine (Infectious Disease)
600 HIGHLAND AVE
MADISON, WI 53792
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Transplant Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Radiology (Radiation Oncology)
600 HIGHLAND AVE
MADISON, WI 53792

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 Kathryn Boomer's NPI number?

The NPI number for Kathryn Boomer is 1891270674. It was assigned to this individual provider in the NPPES registry on September 27, 2018. The provider is also known as Kathryn D Bender.

Where is Kathryn Boomer located?

Kathryn Boomer practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 915-0900.

What is Kathryn Boomer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kathryn Boomer enrolled in Medicare?

Yes. Kathryn Boomer 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.

Is Kathryn Boomer affiliated with any hospitals?

According to CMS data, Kathryn Boomer is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Kathryn Boomer was last updated on June 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.