NPIMap

Individual provider Active NPI

Anna F Boston, DNP-ANP-BC

  • Nurse Practitioner
  • Grosse Pointe Woods, MI
National Provider Identifier
1356530117
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704157116 Issued in MI
Practice address
19229 Mack Ave Ste 23
Grosse Pointe Woods, MI 48236-2857
Phone
(313) 647-3252
Fax
(313) 647-3349
NPI assigned
Oct 17, 2007
Last updated
Apr 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 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 4704157116 MI Primary

Addresses

Primary practice location

19229 Mack Ave Ste 23
Grosse Pointe Woods, MI 48236-2857

Mailing address

19229 Mack Ave Ste 38
Grosse Pointe Woods, MI 48236-2857
Phone (313) 647-3252

Other identifiers 1

IdentifierTypeStateIssuer
4704157116OtherMINURSE PRACTITIONER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111130000040 MI Practitioner - Nurse Practitioner 5395919468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, 246 clinicians

Practice addresses (Care Compare)

19229 Mack Ave
Grosse Pointe Woods, MI 48236-2857

22201 Moross Rd
Suite 214
Detroit, MI 48236-2169
Phone (313) 343-7110

5575 Conner St
Detroit, MI 48213-6400
Phone (313) 924-0000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Nov 18, 2011 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Jul 1, 2025 Accepting new patients
Henry Ford Health St. John Hospital Nurse Practitioner CurrentSince Nov 18, 2011 Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients
Henry Ford Health St. John Hospital Past Accepting new patients

Locations

22201 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-7110

5575 Conner St
Detroit, MI 48213
Phone (313) 579-4555

19229 Mack Ave
Ste 23
Grosse Pointe Woods, MI 48236
Phone (313) 647-3245

19229 Mack Ave
Ste 34
Grosse Pointe Woods, MI 48236
Phone (313) 647-3245

19229 Mack Ave
Ste 38
Grosse Pointe Woods, MI 48236
Phone (313) 647-3900

19229 Mack Ave
Ste 39
Grosse Pointe Woods, MI 48236
Phone (313) 343-0209

17900 23 Mile Rd
Ste 402
Macomb, MI 48044
Phone (586) 868-9090

Interoperability endpoints

  • Direct secure messaging: aboston1118264@direct.hfhs.org

Organizations & group practices 6

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 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": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1356530117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19229 MACK AVE STE 38",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362857",
            "telephone_number": "313-647-3252",
            "fax_number": "313-647-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19229 MACK AVE STE 23",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362857",
            "telephone_number": "313-647-3252",
            "fax_number": "313-647-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTON",
        "first_name": "ANNA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DNP-ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704157116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "4704157116",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

Verify at the official NPI Registry.