Stacey Boomer, PA-C
NPI 1790835932 · Physician Assistant · Spokane, WA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacey Boomer, PA-C is a Physician Assistant provider in Spokane, WA (NPI 1790835932).
Provider details
- NPI number
- 1790835932
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA10005143 (WA)
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
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
373 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 | 237 | $76 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 34 | $107 |
| Urinalysis, Manual Test81002 | 28 | $3 |
| Detection Test By Multiplex Amplified Probe Technique for Severe Acute Respiratory Syndrome Coronavirus 2 (sars-Cov-2) (covid-19) and Influenza Virus Types a and B87636 | 17 | $140 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 17 | $93 |
| Automated Urinalysis Test81003 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 158 | 147 |
| Fluticasone Propionate | 71 | 68 |
| Azelastine Hcl | 69 | 67 |
| Baclofen | 40 | 39 |
| Cefdinir | 39 | 38 |
| Doxycycline Hyclate | 36 | 34 |
| Cephalexin | 30 | 30 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2022-01-27
- Certified
- 2022-01-27
Frequently asked questions
- What is Stacey Boomer's NPI number?
- Stacey Boomer's National Provider Identifier (NPI) is 1790835932, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Boomer's specialty?
- Stacey Boomer is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Stacey Boomer located?
- Stacey Boomer's practice location on file with NPPES is 322 W North River Dr, Spokane, WA 99201-3208.
- What is Stacey Boomer's phone number?
- The practice phone number listed in the NPPES registry for Stacey Boomer is (509) 324-6464.
- Does Stacey Boomer accept Medicare?
- Stacey Boomer is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacey Boomer's NPI active?
- Yes — Stacey Boomer's NPI (1790835932) is active in the NPPES registry as of the last update on 2022-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.