Active NPI
Brooke Nicole Boggs, RN, APRN
- Family Nurse Practitioner
- Grand Island, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 111996
- Practice address
- 403 Lexington Cir
Grand Island, NE 68803-9728 - Phone
- (308) 227-6119
- Fax
- (308) 888-0018
- NPI assigned
- May 29, 2013
- Last updated
- Dec 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 111996 | NE | Primary |
| Home Health Registered Nurse | 163WH0200X | 64593 | NE |
Addresses
Primary practice location
403 Lexington Cir
Grand Island, NE 68803-9728
Mailing address
403 Lexington Cir
Grand Island, NE 68803-9728
Phone (308) 530-6569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 W 33Rd St
Kearney, NE 68845-3484
Phone (308) 865-2141
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64593 | NE | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional West Physicians Clinic | Current | Accepting new patients | |
| Midwest Emergency Grand Island Inc | Current | Accepting new patients | |
| Alegent Creighton Clinic | Current | Accepting new patients | |
| Prosperity Health and Wellness Clinic | Family | Current | Accepting new patients |
| Regional West Physicians Clinic | Past | Accepting new patients |
Locations
2771 Solution Ctr
Chicago, IL 60677
2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856
403 Lexington Cir
Ste I
Grand Island, NE 68803
Phone (308) 227-6110
10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520
211 W 33rd St
Kearney, NE 68845
Phone (308) 236-5884
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
3011 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-2215
3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355
Interoperability endpoints
- brooke.n.boggs@phawc-ne.direct.office.nextgen.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Grand Island, NE
- NPI 1508357930
-
- Family Medicine Physician
- Scottsbluff, NE
- NPI 1306910534
-
- Family Nurse Practitioner
- Grand Island, NE
- NPI 1841822590
-
- Family Medicine Physician
- Grand Island, NE
- NPI 1639248560
-
- Primary Care Clinic/Center
- Grand Island, NE
- NPI 1396300562
-
- Rural Health Clinic/Center
- Mitchell, NE
- NPI 1992703425
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI Health Richard Young Behavioral Health
- Psychiatric Hospital Unit
- Kearney, NE
- NPI 1114942869
-
dba CHI Health Good Samaritan
- General Acute Care Hospital
- Kearney, NE
- NPI 1336184019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1033556113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 LEXINGTON CIR",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688039728",
"telephone_number": "308-530-6569",
"fax_number": "308-888-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 LEXINGTON CIR",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688039728",
"telephone_number": "308-227-6119",
"fax_number": "308-888-0018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGGS",
"first_name": "BROOKE",
"middle_name": "NICOLE",
"credential": "RN, APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-29",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "111996",
"primary": true
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NE",
"license": "64593",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.