Kenzi Lee Boman, - Medicare Nurse Practitioner in Tampa, FL

  1. Home
Kenzi Lee Boman, is a medicare enrolled "Nurse Practitioner" physician in Tampa, Florida. Her current practice location is 14502 N Dale Mabry Hwy Ste 200, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (801) 663-6195.

Kenzi Lee Boman is licensed to practice in Florida (license number APRN11025232) 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 1275235590.

Contact Information

Kenzi Lee Boman,
14502 N Dale Mabry Hwy Ste 200,
Tampa, FL 33618-2040
(801) 663-6195
Not Available

Map and Direction




Physician's Profile

Full NameKenzi Lee Boman
GenderFemale
SpecialityNurse Practitioner
Location14502 N Dale Mabry Hwy Ste 200, Tampa, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275235590
  • Provider Enumeration Date: 03/20/2023
  • Last Update Date: 02/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3072988286
  • Enrollment ID: I20230331000086

Medical Identifiers

Medical identifiers for Kenzi Lee Boman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275235590NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 11025232 (Florida)Secondary
363L00000XNurse Practitioner APRN11025232 (Florida)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. Kenzi Lee Boman allows following entities to bill medicare on her behalf.
Entity NameHonestar Wound Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174247811
PECOS PAC ID: 9638545817
Enrollment ID: O20221012002914

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. Kenzi Lee Boman 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 AddressPractice Location Address
Kenzi Lee Boman,
211 Roseling Xing,
Davenport, FL 33897-3858

Ph: (801) 663-6195		Kenzi Lee Boman,
14502 N Dale Mabry Hwy Ste 200,
Tampa, FL 33618-2040

Ph: (801) 663-6195

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.