Individual provider

Mirabel Boma

Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist Registered Nurse

Mirabel Boma is a Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist in Washington, DC, registered under NPI 1063192235. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 2811 PENNSYLVANIA AVE SE, Washington, DC 20020. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2811 PENNSYLVANIA AVE SE, Washington, DC 20020 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
NP1054131 DC Geropsychiatric Psychiatric/Mental Health… primary
R238558 MD Geropsychiatric Psychiatric/Mental Health…
RN1054131 DC Registered Nurse

Licences are recorded in 2 states: DC, MD. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: District of Columbia and Maryland. The practice address on file is in Washington, DC, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

DC District of Columbia practice address
Licence
NP1054131
Specialty
Geropsychiatric Psychiatric/Mental…
Verify with the DC board →
MD Maryland
Licence
R238558
Specialty
Geropsychiatric Psychiatric/Mental…
Verify with the MD board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Psychiatric/Mental Health, Geropsychiatric covers

Definition to come... NUCC Health Care Provider Taxonomy, code 364SP0813X
Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist Psychiatric/Mental Health, Geropsychiatric

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
364SP0813X Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist Psychiatric/Mental Health, Geropsychiatric NP1054131 DC primary
364SP0813X Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist Psychiatric/Mental Health, Geropsychiatric R238558 MD
163W00000X Registered Nurse RN1054131 DC

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063192235 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 21, 2023
Last updatedOct 20, 2025
StatusActive
Sole proprietorYes
Practice address 2811 PENNSYLVANIA AVE SE
Washington, DC 20020
(202) 894-6811
Mailing address 7708 LEXINGTON AVE
Laurel, MD 20707
This record was updated on Oct 20, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1063192235 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 1 9 2 2 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 2 9 4 2 6

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063192235?
NPI 1063192235 is the National Provider Identifier assigned to Mirabel Boma in Washington, DC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatric/Mental Health, Geropsychiatric cover?
Definition to come...
How do I contact Mirabel Boma?
The phone number on file with NPPES is (202) 894-6811, last updated Oct 20, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1063192235 a valid number?
Yes. 1063192235 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.