Individual provider Active NPI

Gail Ama Boachie

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1023703345
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2340048 Issued in MA
Practice address
307 N University Blvd # Mh1300
Mobile, AL 36688-3053
Phone
(860) 503-9405
NPI assigned
Apr 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 2340048 MA
Family Nurse Practitioner 363LF0000X RN2340048 MA Primary

Addresses

Primary practice location

307 N University Blvd # Mh1300
Mobile, AL 36688-3053

Mailing address

11 Terrace Dr
Torrington, CT 06790-3402
Phone (860) 503-9405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241024000399 DC Practitioner - Nurse Practitioner 3375904196 Reassigns benefits to 2 organizations
I20241127000738 VA Practitioner - Nurse Practitioner 3375904196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Internal Medicine IncGroup PAC ID 4082869250, 101 clinicians

Practice addresses (Care Compare)

3710 Lee Hwy
Arlington, VA 22207-3721
Phone (703) 243-7640

41816 Fenway Cir
Ashburn, VA 20148-8069
Phone (347) 761-7200

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
79.46
Improvement activities
40
Cost
66.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2340048MAMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Internal Medicine Inc CurrentSince Sep 4, 2024 Accepting new patients
Pai Participant 1 LLC CurrentSince Sep 23, 2025 Accepting new patients
Virginia Internal Medicine, PC and Urgent Care Services, Inc. Past Accepting new patients

Locations

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

3710 Langston Blvd
Arlington, VA 22207
Phone (703) 243-7640

3440 S Jefferson St
Falls Church, VA 22041
Phone (703) 578-7108

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1023703345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TERRACE DR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903402",
            "telephone_number": "860-503-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N UNIVERSITY BLVD # MH1300",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366883053",
            "telephone_number": "860-503-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOACHIE",
        "first_name": "GAIL",
        "middle_name": "AMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MA",
            "license": "2340048",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2340048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.