Individual provider Active NPI

Susan Boehnke, NP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1033692843
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
711236 Issued in TX
Practice address
911 Walling St
Houston, TX 77009-3648
Phone
(281) 206-4278
NPI assigned
Sep 9, 2018
Last updated
Jan 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 711236 TX Primary

Addresses

Primary practice location

911 Walling St
Houston, TX 77009-3648

Mailing address

4747 Bellaire Blvd
Ste 575
Bellaire, TX 77401-4535
Phone (713) 575-3686

Other identifiers 1

IdentifierTypeStateIssuer
711236OtherTXTEXAS BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190123000181 TX Practitioner - Nurse Practitioner 3072850510 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

4710 Bellaire Blvd
Bellaire, TX 77401-4505
Phone (713) 363-9411

6550 Fannin St
Houston, TX 77030-2740

7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
711236TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Dec 15, 2024 Accepting new patients
Millennium Physicians Association, PLLC CurrentSince May 1, 2024 Accepting new patients
TMH Physician Associates PLLC CurrentSince Dec 15, 2024 Accepting new patients
Fondren Orthopedic Group L.L.P. Current Accepting new patients
Millennium Physicians Association PLLC CurrentSince May 1, 2024 Accepting new patients
Fondren Orthopedic Group LLP CurrentSince Dec 2, 2019 Accepting new patients

Locations

2635 W Baker Rd
Baytown, TX 77521
Phone (281) 337-8550

506 Medical Center Blvd
Ste 100
Conroe, TX 77304
Phone (281) 569-2130

7401 Main St
Houston, TX 77030
Phone (713) 799-8600

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

22730 Professional Dr
Kingwood, TX 77339
Phone (281) 312-8545

8850 Six Pines Dr
Ste 280
Shenandoah, TX 77380
Phone (713) 575-3986

506 Graham Dr
Ste 120
Tomball, TX 77375
Phone (281) 516-0236

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/AAAGDD/Endpoint/AAAGDD
  • Direct secure messaging: sboehnke25178@directhoustonmethodist.org
  • Direct secure messaging: susan.boehnke.p1@direct.mphcc.nextgenshare.com

Organizations & group practices 6

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 1

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": "1536451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1033692843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 BELLAIRE BLVD",
            "address_2": "STE 575",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014535",
            "telephone_number": "713-575-3686",
            "fax_number": "713-575-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 WALLING ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770093648",
            "telephone_number": "281-206-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHNKE",
        "first_name": "SUSAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-09",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "711236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "711236",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.