Active NPI
Rachael C Boswell
- Medical Physician Assistant
- Ocean City, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C007167
- Practice address
- 12547 Ocean Gtwy
Ocean City, MD 21842-9689 - Phone
- (410) 213-0119
- Fax
- (410) 213-2875
- NPI assigned
- Apr 8, 2019
- Last updated
- Apr 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C007167 | MD | Primary |
Addresses
Primary practice location
12547 Ocean Gtwy
Ocean City, MD 21842-9689
Mailing address
12547 Ocean Gtwy
Ocean City, MD 21842-9689
Phone (410) 213-0119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C0007167 | Other | MD | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
170 Mouse Creek Rd NW
Cleveland, TN 37312-3840
Phone (423) 458-1426
306 Cherokee Blvd
Suite 108
Chattanooga, TN 37405-3811
Phone (423) 259-5997
9058 Old Lee Hwy
Ooltewah, TN 37363-5631
Phone (423) 458-1426
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5150 | TN | MD | Speech-Language Pathologist |
| C007167 | MD | MD | Medical Physician Assistant |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1093278038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12547 OCEAN GTWY",
"city": "OCEAN CITY",
"state": "MD",
"postal_code": "218429689",
"telephone_number": "410-213-0119",
"fax_number": "410-213-2875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12547 OCEAN GTWY",
"city": "OCEAN CITY",
"state": "MD",
"postal_code": "218429689",
"telephone_number": "410-213-0119",
"fax_number": "410-213-2875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSWELL",
"first_name": "RACHAEL",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-08",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C007167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "C0007167",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocean City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.