MRS. KATHRYN EVERHART BODEN PA-C
NPI 1962611384
Physician Assistant - Medical in Fayetteville, NC

Active since May 22, 2007PECOS Enrolled
4401 RAMSEY STREET, FAST MED URGENT CARE, SUITE 104, FAYETTEVILLE, NC 28311(910) 354-3372(910) 491-5813 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Kathryn Everhart Boden Pa-c NPPES

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

MRS. KATHRYN EVERHART BODEN PA-C (NPI 1962611384) is an individual medical provider in Fayetteville, North Carolina and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962611384
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KATHRYN EVERHART BODENCredential: PA-C
Location Address4401 RAMSEY STREET, FAST MED URGENT CARE, SUITE 104Fayetteville, NC 28311
Mailing Address966 Pepperwood DriveFayetteville, NC 28311 · (919) 817-7811
Fax(910) 491-5813
Sole ProprietorNo
Enumeration DateMay 22, 2007
Last NPPES UpdateMay 25, 2021
NPPES CertifiedMay 25, 2021
NPI 1962611384 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
4401 RAMSEY STREET, FAST MED URGENT CARE, Fayetteville, NC 28311

Other Names 1

Former Name (1)Kathryn Everhart Newell Pa-c

Other Identifiers 1

Other101227NC · License Number

Accepted 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)

Mrs. Kathryn Everhart Boden Pa-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.

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 Boden's NPI number?

The NPI number for Kathryn Boden is 1962611384. It was assigned to this individual provider in the NPPES registry on May 22, 2007. The provider is also known as Kathryn Everhart Newell Pa-C.

Where is Kathryn Boden located?

Kathryn Boden practices at 4401 Ramsey Street, Fast Med Urgent Care Suite 104, Fayetteville, NC 28311. The listed phone number is (910) 354-3372.

What is Kathryn Boden's specialty?

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

Is Kathryn Boden enrolled in Medicare?

Yes. Kathryn Boden is registered in the Medicare PECOS enrollment system.

What insurance does Kathryn Boden accept?

Health plans from Blue Cross and Blue Shield of NC list Kathryn Boden 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 Kathryn Boden was last updated on May 25, 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.