Individual provider Active NPI

Natalia Andrea Boquin, FNP-C

  • Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1235851015
Registry record updated Oct 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11031230 Issued in FL
Practice address
2264 NW 43Rd St
Gainesville, FL 32605-3680
Phone
(352) 642-8258
Fax
(352) 558-9854
NPI assigned
Sep 16, 2022
Last updated
Oct 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11031230 FL Primary

Addresses

Primary practice location

2264 NW 43Rd St
Gainesville, FL 32605-3680

Mailing address

2599 Sheila Dr
Apopka, FL 32712-4819
Phone (305) 527-1596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240606001956 FL Practitioner - Nurse Practitioner 2365984234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Urgent Care LLCGroup PAC ID 8820305600, 171 clinicians

Practice addresses (Care Compare)

1730 Pat Thomas Pkwy
Quincy, FL 32351-8681
Phone (850) 662-0041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11031230FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Urgent Care LLC CurrentSince Nov 3, 2024 Accepting new patients
Muriel's Medical Care LLC Current Accepting new patients
Rural Urgent Care LLC CurrentSince Apr 30, 2024 Accepting new patients
Rural Urgent Care LLC Current Accepting new patients
Rural Urgent Care LLC CurrentSince Apr 30, 2024 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

2264 NW 43rd St
Gainesville, FL 32605
Phone (352) 642-8258

1730 Pat Thomas Pkwy
Quincy, FL 32351
Phone (850) 662-0041

Interoperability endpoints

  • Direct secure messaging: natalia.boquin.1@8604.direct.athenahealth.com

Organizations & group practices 5

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": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729987200000",
    "number": "1235851015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2599 SHEILA DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327124819",
            "telephone_number": "305-527-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2264 NW 43RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053680",
            "telephone_number": "352-642-8258",
            "fax_number": "352-558-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOQUIN",
        "first_name": "NATALIA",
        "middle_name": "ANDREA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11031230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.