Lynda Boegner, CRNP-F, PMH

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R108129 Issued in MD

Practice address

253 Lewis LN Ste 202
Havre de Grace, MD 21078-3756

Phone

(410) 378-9696

Fax

(410) 378-9922

NPI assigned

Apr 18, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Reclaim and Restore Healing CompanyGroup PAC ID 9739620717, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6703/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/DAHIAD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reclaim and Restore Healing Company

  • Mental Health Counselor
  • Edgewood, MD
  • NPI 1699559179

  MD, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1023699402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "CONOWINGO",
            "state": "MD",
            "postal_code": "219180099",
            "telephone_number": "410-378-9696",
            "fax_number": "410-378-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 LEWIS LN STE 202",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783756",
            "telephone_number": "410-378-9696",
            "fax_number": "410-378-9922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Rock Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Conowingo",
            "state": "MD",
            "postal_code": "219181352",
            "country_code": "US",
            "telephone_number": "410-378-9696",
            "fax_number": "410-378-9922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOEGNER",
        "first_name": "LYNDA",
        "credential": "CRNP-F, PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-18",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R108129",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R108129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444459100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Bissell, CRNP-PMH
• Victoria Ann Blucher, CRNP
• Bmoreyouthful LLC
• Bmoreyouthful LLC
• Daniel J Bochicchio, M.D.
• Christina Bollino
• Elisabeth Bolt
• Toni Allayne Boulware Stackhouse
• Tonya Anitra Bowens, PMHNP-BC
• Sakeena Jentae Bowman, COTA/L

• All providers in Havre de Grace, MD
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.