Individual provider Active NPI

Marquita Wallace Boggess, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1326467945
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5006850 Issued in NC
Practice address
501 Billingsley Rd
Cottage B
Charlotte, NC 28211-1009
Phone
(704) 444-5881
NPI assigned
Apr 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5006850 NC
Family Nurse Practitioner 363LF0000X 5006850 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5006850 NC Primary

Addresses

Primary practice location

501 Billingsley Rd
Cottage B
Charlotte, NC 28211-1009

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

5427 Nc Highway 49 S
Ste 105
Harrisburg, NC 28075-7408
Phone (704) 454-7268

Other practice location 2

501 Billingsley Rd
Ste B
Charlotte, NC 28211-1009
Phone (704) 444-2400

Other practice location 3

16740 Davidson Concord Rd
Ste 200
Davidson, NC 28036-8746
Phone (704) 444-5881

Other practice location 4

16740 Davidson Concord Rd
Davidson, NC 28036-8746
Phone (704) 444-2400

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mboggess500052@CarolinasHealthcareSystem.direct-ci.com Atrium Health
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 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
I20140709000566 NC Practitioner - Nurse Practitioner 6204051162 Reassigns benefits to 3 organizations
I20190417002660 VA Practitioner - Nurse Practitioner 6204051162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arman C Moshyedi MD PLLCGroup PAC ID 9931435070, 21 clinicians
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians

Practice addresses (Care Compare)

1500 Sunday Dr
Raleigh, NC 27607-5151

330 Billingsley Rd
Suite 102
Charlotte, NC 28211-5055
Phone (704) 444-2574

501 Billingsley Rd
Charlotte, NC 28211-1009
Phone 7044445881704444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5006850NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center CurrentSince Jul 24, 2017 Accepting new patients
Arman C. Moshyedi, MD, PLLC CurrentSince Nov 15, 2022 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jan 15, 2024 Accepting new patients
Carolinas Medical Center CurrentSince Jul 24, 2017 Accepting new patients
Murray E Joiner Jr MD PC CurrentSince Apr 15, 2019 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jan 15, 2024 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Murray E Joiner Jr MD PC CurrentSince Apr 15, 2019 Accepting new patients
Pain Center of the Blue Ridge CurrentSince Apr 15, 2019 Accepting new patients
Modernday Wellness PLLC Psychiatric/Mental Health Current Accepting new patients
Greenbrook TMS Chapel Hill LLC Past Accepting new patients
Belmont Psychiatry & Counseling Services PLLC Past Accepting new patients
Greenbrook TMS Winston-Salem LLC PastSince Feb 7, 2018 Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

55 Vilcom Center Dr
Ste 135
Chapel Hill, NC 27514
Phone (919) 590-9126

6701 Carmel Rd
Ste 305
Charlotte, NC 28226
Phone (217) 502-3050

330 Billingsley Rd
Ste 102
Charlotte, NC 28211
Phone (704) 444-2574

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

501 Billingsley Rd
Ste B
Charlotte, NC 28211
Phone (704) 444-2400

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

501 Billingsley Rd
#B
Charlotte, NC 28211
Phone (704) 444-2400

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

16740 Davidson Concord Rd
Davidson, NC 28036
Phone (704) 444-2400

16740 Davidson Concord Rd
Ste 200
Davidson, NC 28036
Phone (704) 444-5881

5427 NC Highway 49 S
Ste 105
Harrisburg, NC 28075
Phone (704) 454-7268

1111 Circle Dr
Monroe, NC 28112
Phone (704) 289-8537

1500 Sunday Dr
Ste 102
Raleigh, NC 27607
Phone (919) 322-2413

701 Exposition Pl
Ste 201
Raleigh, NC 27615
Phone (919) 466-7540

380 Knollwood St
Ste 330
Winston Salem, NC 27103
Phone (336) 778-3989

125 Ashleybrook Sq
Winston Salem, NC 27103
Phone (336) 632-3505

1945 Thomson Dr
Lynchburg, VA 24501
Phone (434) 845-6664

2726 Electric Rd
Ste 203
Roanoke, VA 24018
Phone (540) 772-4448

Interoperability endpoints

  • Direct secure messaging: mboggess500052@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: marquita.boggess.1@18773.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: greenbrooktmsnc.marquitaboggess@158836.advancedmd-direct.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1326467945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BILLINGSLEY RD",
            "address_2": "COTTAGE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111009",
            "telephone_number": "704-444-5881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5427 Nc Highway 49 S",
            "address_2": "Ste 105",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "NC",
            "postal_code": "280757408",
            "country_code": "US",
            "telephone_number": "704-454-7268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Billingsley Rd",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282111009",
            "country_code": "US",
            "telephone_number": "704-444-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16740 Davidson Concord Rd",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Davidson",
            "state": "NC",
            "postal_code": "280368746",
            "country_code": "US",
            "telephone_number": "704-444-5881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16740 Davidson Concord Rd",
            "address_purpose": "LOCATION",
            "city": "Davidson",
            "state": "NC",
            "postal_code": "280368746",
            "country_code": "US",
            "telephone_number": "704-444-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGGESS",
        "first_name": "MARQUITA",
        "middle_name": "WALLACE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2024-07-15",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5006850",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006850",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5006850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mboggess500052@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "501 Billingsley Rd",
            "address_2": "Cottage B",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282111009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.