Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey Noel Boomer, PA-C

Individual provider Physician Assistant · NPI 1790835932

Stacey Noel Boomer, PA-C is a Physician Assistant in Spokane, Washington. Qualified in 2006, 20 years ago. Practices with Multicare Health System, a 2,302-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
20
Licensed in
WA
In the registry since
2007
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

322 W North River Dr
Spokane, WA 99201-3208
Phone: (509) 324-6464
Fax: (509) 241-2056
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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 PA10005143 (WA)

Record details

NPI number1790835932
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 11, 2007
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Multicare Health System — 2302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Spokane