Deneen Bosch
Individual provider Active NPI Family Nurse Practitioner · Endicott, NY
NPI 1174290795 · NPPES record last updated Aug 23, 2021
Key facts
- NPI
- 1174290795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 348231 (NY)
- Practice address
- 1349 Bornt Hill Rd
Endicott, NY 13760-8205 - Phone
- (607) 229-8986
- NPI assigned
- Aug 23, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- United Health Services Hospitals, Inc.
Practice addresses (Care Compare)
4417 Vestal Pkwy E
Vestal, NY 13850-3556
Phone (607) 770-7365
Hospital & facility affiliations
- United Health Services Hospitals, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220819001394 | NY | Practitioner - Nurse Practitioner | 9537542758 | Reassigns benefits to 2 organizations |
| I20230301000401 | MD | Practitioner - Nurse Practitioner | 9537542758 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umms Ambulatory Care LLC | Current |
Accepting new patients | |
| Chenango Memorial Hospital, Inc. | Current |
Accepting new patients | |
| United Health Services Hospitals, Inc. | Current |
Accepting new patients | |
| Umms Ambulatory Care LLC | Current |
Accepting new patients | |
| Umms Ambulatory Care LLC | Current | Accepting new patients | |
| Chenango Memorial Hospital Inc | Current |
Accepting new patients | |
| Chenango Memorial Hospital Inc | Current | Accepting new patients |
Locations
8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300
1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756
28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086
900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010
33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156
179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111
4417 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 729-2144
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 348231 | NY | Yes |
Addresses
Primary practice location
1349 Bornt Hill Rd
Endicott, NY 13760-8205
Mailing address
1349 Bornt Hill Rd
Endicott, NY 13760-8205
Phone (607) 229-8986
Other providers in Endicott, NY
- Carol Ann Blackwell
- Annette Tomasi Blake
- Chelsie Michelle Blasko
- Larry P Bleier
- Dina Boreffi-Dugas
- Natalie Braman
- Martin D. Brazinski
- Sara Brhel
- Lori Ann Bullock
- Caroline Grace Burlingame
All providers in Endicott, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.