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Active NPI 1477838845 Individual Practitioner Female Practitioner

Phyllis Diane Boone , NP

Nurse Practitioner • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Phyllis Boone, NP is a registered healthcare professional specializing in Nurse Practitioner in Grand Rapids, MI. Practice services are available at 3600 E FULTON under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, vaccine for influenza for administration into muscle, 0.5 ml dosage. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3600 E Fulton

Grand Rapids, MI 495461322

Telephone 6169494971
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
278 Specialists

Practicing in Grand Rapids, MI (3626 Statewide)

Telehealth Adoption Rate
18.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
140 93 $296.56 $89.97
99213 Established patient office or other outpatient visit, typically 15 minutes
120 82 $226.14 $61.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
35 35 $344.76 $94.93
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage
17 17 $106.25 $19.58
G0008 Administration of influenza virus vaccine
15 15 $70.63 $16.10

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704108827

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Leah Gibson , MS, OTRL

Occupational Therapist

NPI 1003389800

Master of Science, Occupational Therapist Registered & Licensed

Audra Kuperus , COTAL

Occupational Therapy Assistant

NPI 1225503501
Reanna Dawson , COTA, L

Occupational Therapy Assistant

NPI 1477028827

Certified Occupational Therapy Assistant, L

Terri Baughman-Stephenson , COTA, L

Occupational Therapy Assistant

NPI 1598230419

Certified Occupational Therapy Assistant, L

Kimberly Gonyea , NP

Nurse Practitioner

NPI 1700994860

Nurse Practitioner

Alex Lang , CCC-SLP

Speech-Language Pathologist

NPI 1710452545

Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 18, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2011

Registered at 3600 E FULTON, GRAND RAPIDS, MI 495461322 (Tel: 6169494971)

📍
Updated Business Mailing Address October 18, 2011

Registered at PO BOX 3140, GRAND RAPIDS, MI 495013140 (Tel: 6164590898)

👤
Provider Name / Credentials Updated October 18, 2011

Recorded as PHYLLIS BOONE, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2011

Nurse Practitioner (License #4704108827 in MI)

🟢
Initial NPI Registration & Enumeration October 18, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477838845
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2011
Last Update: October 18, 2011
Sole Proprietor: No

Mailing Address

Po Box 3140

Grand Rapids, MI 495013140

Phone: 6164590898

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.