Stacey Noel Boomer, PA-C
NPI 1790835932ActiveIndividual· Physician Assistant· Spokane, WA
Physician Assistant (PA-C) with Multicare Health System, practicing in Spokane, Washington. 274 Medicare patients in 2024, $20,509 paid; nearly all of their 727 Part D prescriptions were generic (94%). Lists Deaconess Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1790835932 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 11, 2007 |
| Last updated in NPPES | Jan 27, 2022 |
| Certified by provider | Jan 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA10005143 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 274 |
|---|---|
| Services billed | 984 across 44 procedure codes |
| Paid by Medicare | $20,509 |
Part D prescriptions in 2024
| Prescriptions (claims) | 727 · 821 30-day fills |
|---|---|
| Patients | 373 |
| Total drug cost | $9,358 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Multicare Health SystemTacoma, WA · 2,325 clinicians
Hospital affiliations
- Deaconess Medical CenterSpokane, WA
- Tacoma General Allenmore HospitalTacoma, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 334 physician assistants in Spokane · All physician assistants in Washington