Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Mary Elizabeth Boone, PA-C

Individual provider Physician Assistant · NPI 1619109766

Miss. Mary Elizabeth Boone, PA-C is a Physician Assistant in Fredericksburg, Virginia. Qualified in 2009, 17 years ago. Practices with Mdics at Civista LLC, a 35-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
17
Licensed in
VA
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

12006 Kilarney Dr
Fredericksburg, VA 22407-7207
Phone: (540) 786-9771
Fax: (540) 548-8803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110003099 (VA)

Record details

NPI number1619109766
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 21, 2009
Last updated in NPPESJanuary 5, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Mdics At Civista Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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