Individual provider Active NPI

Emily Maria Boshell, PA-C

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1295393965
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3087 Issued in OK
Practice address
825 NE 10TH St Ste 4G
Suite 1140
Oklahoma City, OK 73104-5417
Phone
(405) 271-5789
Fax
(405) 271-1643
NPI assigned
May 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3087 OK Primary

Addresses

Primary practice location

825 NE 10TH St Ste 4G
Suite 1140
Oklahoma City, OK 73104-5417

Mailing address

716 Fox Bend TRL
Edmond, OK 73034-7355

Other practice location 1

4801 Integris Pkwy
Edmond, OK 73034-8864
Phone (405) 713-4565

Other practice location 2

3300 NW Expwy
Oklahoma City, OK 73112-4418
Phone (405) 949-3011

Other practice location 3

4801 SE 15th St
Del City, OK 73115-3918
Phone (405) 500-3380

Other practice location 4

9417 N Council Rd
Oklahoma City, OK 73162-6228
Phone (405) 550-3280

Other practice location 5

2825 Parklawn Dr
Midwest City, OK 73110-4201
Phone (405) 610-4411

Other practice location 6

1201 Health Center Pkwy
Yukon, OK 73099-6381
Phone (405) 717-6800

Other practice location 7

4050 W Memorial Rd
Oklahoma City, OK 73120-8382
Phone (405) 608-3800

Other practice location 8

5200 E I 240 Service Rd
Oklahoma City, OK 73135-2607
Phone (405) 628-6000

Other practice location 9

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7000

Other practice location 10

5501 N Portland Ave
Oklahoma City, OK 73112-2074
Phone (405) 604-6000

Other practice location 11

3400 S Douglas Blvd
Oklahoma City, OK 73150-1001
Phone (405) 815-5600

Other practice location 12

13500 S Tulsa Dr
Oklahoma City, OK 73170-9719
Phone (405) 815-5600

Other practice location 13

1102 W MacArthur St
Shawnee, OK 74804-1743
Phone (405) 273-2270

Other practice location 14

201 S Sara Rd
Mustang, OK 73064-4306
Phone (405) 376-4505

Other practice location 15

13401 N Western Ave
Oklahoma City, OK 73114-1408
Phone (405) 252-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20191108002497 OK Practitioner - Physician Assistant 1052743283 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3087OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Nov 3, 2025 Accepting new patients
Healthcare Express, LLP CurrentSince Jul 1, 2024 Accepting new patients
Ou Health Partners, Inc CurrentSince Nov 3, 2025 Accepting new patients
Healthcare Express, LLP CurrentSince Jul 1, 2024 Accepting new patients
Oklahoma Heart Hospital South LLC Past Accepting new patients

Locations

1701 S Douglas Blvd
Oklahoma City, OK 73130
Phone (405) 302-8999

825 NE 10th St
Ste 4G
Oklahoma City, OK 73104
Phone (405) 271-5789

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

825 NE 10th St
Ste OUPB4E
Oklahoma City, OK 73104

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

3515 Richmond Rd
Texarkana, TX 75503
Phone (903) 831-7270

Organizations & group practices 9

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": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1295393965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 FOX BEND TRL",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NE 10TH ST STE 4G",
            "address_2": "SUITE 1140",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045417",
            "telephone_number": "405-271-5789",
            "fax_number": "405-271-1643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Integris Pkwy",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730348864",
            "country_code": "US",
            "telephone_number": "405-713-4565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 NW Expwy",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731124418",
            "country_code": "US",
            "telephone_number": "405-949-3011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 SE 15th St",
            "address_purpose": "LOCATION",
            "city": "Del City",
            "state": "OK",
            "postal_code": "731153918",
            "country_code": "US",
            "telephone_number": "405-500-3380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9417 N Council Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731626228",
            "country_code": "US",
            "telephone_number": "405-550-3280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2825 Parklawn Dr",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731104201",
            "country_code": "US",
            "telephone_number": "405-610-4411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Health Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730996381",
            "country_code": "US",
            "telephone_number": "405-717-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4050 W Memorial Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731208382",
            "country_code": "US",
            "telephone_number": "405-608-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 E I 240 Service Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731352607",
            "country_code": "US",
            "telephone_number": "405-628-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Lee Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731021036",
            "country_code": "US",
            "telephone_number": "405-272-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5501 N Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731122074",
            "country_code": "US",
            "telephone_number": "405-604-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 S Douglas Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731501001",
            "country_code": "US",
            "telephone_number": "405-815-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13500 S Tulsa Dr",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731709719",
            "country_code": "US",
            "telephone_number": "405-815-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 W MacArthur St",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "OK",
            "postal_code": "748041743",
            "country_code": "US",
            "telephone_number": "405-273-2270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S Sara Rd",
            "address_purpose": "LOCATION",
            "city": "Mustang",
            "state": "OK",
            "postal_code": "730644306",
            "country_code": "US",
            "telephone_number": "405-376-4505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13401 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731141408",
            "country_code": "US",
            "telephone_number": "405-252-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSHELL",
        "first_name": "EMILY",
        "middle_name": "MARIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "3087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.