Individual provider Active NPI

Ann-Christin Boley

  • Adult Health Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1285877043
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R117114 Issued in MD
Practice address
1325 East West Hwy.
SSMC#2, #9300
Silver Spring, MD 20910-3280
Phone
(301) 713-0545
Fax
(301) 713-0379
NPI assigned
Apr 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R117114 MD Primary
Adult Health Nurse Practitioner 363LA2200X RN60240 DC
Occupational Health Nurse Practitioner 363LX0106X R117114 MD

Addresses

Primary practice location

1325 East West Hwy.
SSMC#2, #9300
Silver Spring, MD 20910-3280

Mailing address

1325 East West Hwy.
Silver Spring, MD 20910-3280
Phone (301) 713-0545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180411000121 DC Practitioner - Nurse Practitioner 0749543437 Reassigns benefits to 1 organization
I20220419000592 MD Practitioner - Nurse Practitioner 0749543437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

1805 Columbia Rd NW
MMG Adams Morgan
Washington, DC 20009-2001
Phone (202) 797-4950

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (703) 558-1400

6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R117114MDMDOccupational Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Mar 3, 2018 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 3, 2018 Accepting new patients

Locations

1818 H St NW
Washington, DC 20433
Phone (202) 842-1500

4910 Massachusetts Ave NW
Washington, DC 20016
Phone (202) 237-0015

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

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.

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239235200000",
    "number": "1285877043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 EAST WEST HWY.",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103280",
            "telephone_number": "301-713-0545",
            "fax_number": "301-713-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 EAST WEST HWY.",
            "address_2": "SSMC#2, #9300",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103280",
            "telephone_number": "301-713-0545",
            "fax_number": "301-713-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLEY",
        "first_name": "ANN-CHRISTIN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R117114",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DC",
            "license": "RN60240",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "MD",
            "license": "R117114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.