Individual provider Active NPI

Brooke Nicole Boggs, RN, APRN

  • Family Nurse Practitioner
  • Grand Island, NE
National Provider Identifier
1033556113
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111996 Issued in NE
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160512001992 NE Practitioner - Nurse Practitioner 7214226448 Reassigns benefits to 4 organizations

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
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

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

LicenseStateTypeSpecialty
64593NEMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Regional West Physicians Clinic CurrentSince Jan 31, 2023 Accepting new patients
Midwest Emergency Grand Island Inc CurrentSince Jan 5, 2020 Accepting new patients
Alegent Creighton Clinic CurrentSince Jun 26, 2020 Accepting new patients
Prosperity Health and Wellness Clinic Family CurrentSince Feb 16, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.