Active NPI
Ann-Christin Boley
- Adult Health Nurse Practitioner
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R117114
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| R117114 | MD | MD | Occupational Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | 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.
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.