Kati Boomgarden, FNP in Red Bluff, CA - Medicare Nurse Practitioner

Kati Boomgarden, FNP is a medicare enrolled "Nurse Practitioner - Family" in Red Bluff, California. Her current practice location is 2540 Sister Mary Columba Dr, Red Bluff, California. You can reach out to her office (for appointments etc.) via phone at (530) 690-2827.

Kati Boomgarden is licensed to practice in California (license number 95007884) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326577552.

Contact Information

	Kati Boomgarden, FNP
	2540 Sister Mary Columba Dr, Red Bluff, CA 96080-4327
	(530) 690-2827
	Not Available

Map and Direction

Provider's Profile

Full Name	Kati Boomgarden
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2540 Sister Mary Columba Dr, Red Bluff, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326577552
Provider Enumeration Date: 06/10/2017
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1456606870
Enrollment ID: I20180626000706

Medical Identifiers

Medical identifiers for Kati Boomgarden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326577552	NPI	-	NPPES
845076	Other	CA	BOARD OF REGISTERED NURSING
F12170087	Other		AANP: CERTIFICATION
9500784	Other	CA	BOARD OF REGISTERED NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	845076 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95007884 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kati Boomgarden allows following entities to bill medicare on her behalf.

Entity Name	Rolling Hills Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679988950 PECOS PAC ID: 6901093681 Enrollment ID: O20140825000064

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kati Boomgarden is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kati Boomgarden, FNP 2540 Sister Mary Columba Dr, Red Bluff, CA 96080-4327 Ph: () -	Kati Boomgarden, FNP 2540 Sister Mary Columba Dr, Red Bluff, CA 96080-4327 Ph: (530) 690-2827

Reviews and Comments

Nurse Practitioner Nurses in Red Bluff, CA

Ellen Musakwa, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 Jefferson Ct, Unit A, Red Bluff, CA 96080 Phone: 951-966-0193
Cori Lynn Crow, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2490 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-529-2966
Jessica Henrietta Mills, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1425 Montgomery Rd, Red Bluff, CA 96080 Phone: 530-528-8600
Lauren Ashlie Ghawi, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 400, Red Bluff, CA 96080 Phone: 530-527-8694 Fax: 530-529-3881
Trinh Dao, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2550 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-529-8000
Margaret A Macdonald, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414
Wendy Davis, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 645 Antelope Blvd Ste 24, Red Bluff, CA 96080 Phone: 530-227-1645

Kati Boomgarden, FNP - Medicare Nurse Practitioner in Red Bluff, CA