Anita Boulom, PA-C
NPI 1184213555 · Physician Assistant · Janesville, WI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anita Boulom, PA-C is a Physician Assistant provider in Janesville, WI (NPI 1184213555).
Provider details
- NPI number
- 1184213555
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5192-23 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
212 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 128 | $54 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 28 | $66 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 27 | $98 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 18 | $142 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 11 | $66 |
Typical Medicare-allowed amounts for these services range $54–$142 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 32 | 32 |
| Cephalexin | 32 | 31 |
| Doxycycline Hyclate | 24 | 23 |
| Prednisone | 24 | 24 |
| Cefdinir | 20 | 20 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 16 | 16 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa |
Practice location
Mailing address
Additional practice locations (1)
- 1000 Mineral Point AveJanesville, WI 53548-2940Phone: (608) 756-6000
Registry dates
- Enumerated
- 2021-01-11
- Last updated
- 2021-01-11
- Certified
- 2021-01-11
Frequently asked questions
- What is Anita Boulom's NPI number?
- Anita Boulom's National Provider Identifier (NPI) is 1184213555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anita Boulom's specialty?
- Anita Boulom is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Anita Boulom located?
- Anita Boulom's practice location on file with NPPES is 3400 Deerfield Dr, Janesville, WI 53546-3557.
- What is Anita Boulom's phone number?
- The practice phone number listed in the NPPES registry for Anita Boulom is (608) 314-3600.
- Does Anita Boulom accept Medicare?
- Anita Boulom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Anita Boulom's NPI active?
- Yes — Anita Boulom's NPI (1184213555) is active in the NPPES registry as of the last update on 2021-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.