NPIMap

Individual provider Active NPI

Alice M Boshoven, MD

  • Family Medicine Physician
  • Appleton, WI
National Provider Identifier
1063754356
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63001-20 Issued in WI
Practice address
229 S Morrison St
Appleton, WI 54911-5725
Phone
(920) 832-2783
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 63001-20 WI Primary

Addresses

Primary practice location

229 S Morrison St
Appleton, WI 54911-5725

Mailing address

229 S Morrison St
Appleton, WI 54911-5725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150417000105 WI Practitioner - Family Practice 5395063697 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mosaic Family Health IncGroup PAC ID 4082925243, 14 clinicians

Practice addresses (Care Compare)

229 S Morrison St
Appleton, WI 54911-5725
Phone (920) 832-2783

Hospital & facility affiliations

  • Thedacare at Home Hospice, Appleton, WI, CCN 521504
  • Thedacare Regional Med Ctr - Neenah Hospital, Neenah, WI, CCN 520045
  • Thedacare Regional Medical Center - Appleton Inc Hospital, Appleton, WI, CCN 520160
  • Ascension NE Wisconsin - St Elizabeth Campus Hospital, Appleton, WI, CCN 520009

Merit-based Incentive Payment System (MIPS)

Final score
92.06 of 100Reported as group
Quality
84.62
Improvement activities
40
Cost
77.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Family Health, Inc Family Medicine CurrentSince Sep 6, 2016 Accepting new patients
Urgent Care Physcians, LTD CurrentSince Mar 1, 2015 Accepting new patients

Locations

3329 Express Ct
Appleton, WI 54915
Phone (920) 733-5900

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

229 S Morrison St
Appleton, WI 54911
Phone (920) 832-2783

2915 N Meade St
Appleton, WI 54911
Phone (920) 831-8700

3300 W Brewster St
Appleton, WI 54914
Phone (920) 832-1657

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

100 N Oneida St
Appleton, WI 54911
Phone (920) 832-2783

Interoperability endpoints

  • Direct secure messaging: alice.boshoven.1@20410.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1063754356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 S MORRISON ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 S MORRISON ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115725",
            "telephone_number": "920-832-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSHOVEN",
        "first_name": "ALICE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "63001-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.