Jean A Boga, ANP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

212 Issued in AK

Practice address

701 E Tudor Rd
Suite 135
Anchorage, AK 99503-7457

Phone

(907) 644-8044

Fax

(907) 644-8004

NPI assigned

Aug 16, 2006

Last updated

May 23, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Jean A Boga Professional name

Medicare fee-for-service enrollment

Enrolled in AK

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, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Counseling Solutions of Alaska LLCGroup PAC ID 6901160027, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Counseling Solutions of Alaska LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anchorage, AK
  • NPI 1477682623

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• State of Alaska Department of Administration

  dba Alaska Psychiatric Institute

  • Psychiatric Hospital
  • Anchorage, AK
  • NPI 1497842553
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1063525145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E TUDOR RD",
            "address_2": "SUITE 135",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037457",
            "telephone_number": "907-644-8044",
            "fax_number": "907-644-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E TUDOR RD",
            "address_2": "SUITE 135",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037457",
            "telephone_number": "907-644-8044",
            "fax_number": "907-644-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGA",
        "first_name": "JEAN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2946",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "BOGA",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "ANP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tamara Boeckman, MSW, CDC1
• Jennifer Boehm, DDS
• Joshua Boerner
• Jahnna Boese
• Karl Albert Boesenberg, D.P.M.
• Milica Bogdanovic
• Ashley Boge
• Joshua Bohling
• Brandon Michael Bohn, PHARM.D.
• Mark David Bohrer, RPH

• Psychiatric/Mental Health Nurse Practitioner in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.