Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083208920 Individual Practitioner Female Practitioner

Macie Maxfield Boden , PA-C

Physician Assistant • Houston, TX

Professional Overview & Biography Verified Profile Summary

Macie Boden, PA-C is a registered healthcare professional specializing in Physician Assistant in Houston, TX. Practice services are available at 6410 FANNIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6410 Fannin St

Houston, TX 770303000

Telephone 7137045223
Associated Practice Facility / Clinic
🏢 Hpb Pharmacy Facility NPI 1215921267

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.1 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
1817 Specialists

Practicing in Houston, TX (11140 Statewide)

Telehealth Adoption Rate
17.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA14203

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Texas Pa Board
PA14203 (TX)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Belanie Peavy , ACNP

Nurse Practitioner - Acute Care

NPI 1013236488
Dr. Nivedita Thakur , MD

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

NPI 1013262286

Doctor of Medicine (M.D.)

Amber Chen-Goodspeed

Student in an Organized Health Care Education/Training Program

NPI 1013657147
NPI 1013948181

Doctor of Medicine (M.D.)

Dr. Kevin Lally , MD

Surgery - Pediatric Surgery

NPI 1013949635

Doctor of Medicine (M.D.)

NPI 1013953017

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location February 23, 2023

Registered at 6410 FANNIN ST, HOUSTON, TX 770303000 (Tel: 7137045223)

📍
Updated Business Mailing Address February 23, 2023

Registered at 6431 FANNIN ST, HOUSTON, TX 770301501 (Tel: 7137045223)

👤
Provider Name / Credentials Updated February 23, 2023

Recorded as MACIE BODEN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2021

Physician Assistant (License #PA14203 in TX)

NPI Profile Active February 22, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2021

Registered at 11524 SPACE CENTER BLVD STE 100, HOUSTON, TX 770593648 (Tel: 2814870555)

📍
Updated Business Mailing Address February 22, 2021

Registered at 11524 SPACE CENTER BLVD STE 100, HOUSTON, TX 770593648 (Tel: 2814870555)

👤
Provider Name / Credentials Updated February 22, 2021

Recorded as MACIE MAXFIELD, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2021

Pediatrics (License #PA14203 in TX)

🟢
Initial NPI Registration & Enumeration February 22, 2021

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: 1083208920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2021
Last Update: February 23, 2023
Sole Proprietor: Yes

Mailing Address

6431 Fannin St

Houston, TX 770301501

Phone: 7137045223

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.