Individual provider Active NPI

Mark Alan Boxell, APRN, FNP-BC

  • Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1326817560
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71014808A Issued in IN
Practice address
2700 Lafayette St Ste 110
Fort Wayne, IN 46806-1100
Phone
(260) 266-0780
NPI assigned
Dec 29, 2023
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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 71014808A IN Primary

Addresses

Primary practice location

2700 Lafayette St Ste 110
Fort Wayne, IN 46806-1100

Mailing address

7215 Turkey Run Dr
Fort Wayne, IN 46815-7735
Phone (317) 491-5995

Other practice location 1

2700 Lafayette St Ste 110
Fort Wayne, IN 46806-1100
Phone (260) 266-0780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240306002017 IN Practitioner - Nurse Practitioner 1759727316 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
Alliance Health Centers IncGroup PAC ID 8022437318, 4 clinicians

Practice addresses (Care Compare)

2700 Lafayette St
Suite 110
Fort Wayne, IN 46806-1100
Phone (260) 266-0780

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71014808AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Health Centers Inc. CurrentSince Jan 30, 2024 Accepting new patients
Alliance Health Centers, Inc. Nurse Practitioner CurrentSince Jan 30, 2024 Accepting new patients

Locations

2700 Lafayette St
Ste 110
Fort Wayne, IN 46806
Phone (260) 660-0780

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1326817560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 TURKEY RUN DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157735",
            "telephone_number": "317-491-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 LAFAYETTE ST STE 110",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468061100",
            "telephone_number": "260-266-0780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Lafayette St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468061100",
            "country_code": "US",
            "telephone_number": "260-266-0780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOXELL",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71014808A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.