Active NPI
Diane Watson Boicourt, APRN FNP-BC
- Family Nurse Practitioner
- Shelby, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5019833
- Practice address
- 1010 E Dixon Blvd # B
Shelby, NC 28152-6838 - Phone
- (980) 487-2900
- NPI assigned
- Nov 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5019833 | NC | Primary |
| Family Nurse Practitioner | 363LF0000X | 11005221 | FL |
Addresses
Primary practice location
1010 E Dixon Blvd # B
Shelby, NC 28152-6838
Mailing address
2242 Emerald Mine Rd
Shelby, NC 28152-8674
Phone (407) 314-9429
Other practice location 1
1360 Saxon Blvd
Orange City, FL 32763-8416
Phone (386) 917-0074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 E Dixon Blvd
Suite B
Shelby, NC 28152-6838
Phone (980) 487-2900
436 Airport Rd
Suite 20
Arden, NC 28704-8403
Phone (828) 650-7282
Hospital & facility affiliations
- Adventhealth Hendersonville
- Carolinas Medical Center/Behav Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11005221 | FL | MD | Family Nurse Practitioner |
| 5019833 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fletcher Hospital Inc. | Current | Accepting new patients | |
| Fletcher Hospital Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Arboretum Urgent Care Center | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Adventist Health System/ Sunbelt, Inc. | Family | Current | Accepting new patients |
| Adventist Health System Sunbelt, Inc. | Family | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Urgent Care Centers of Brevard County LLC | Family | Current | Accepting new patients |
| Urgent Care Centers of Brevard County LLC | Family | Current | Accepting new patients |
| Fletcher Hospital Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Shawnee Mission Medical Center Inc | Past | Accepting new patients |
Locations
440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000
105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362
2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353
1360 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-0074
436 Airport Rd
Ste 20
Arden, NC 28704
Phone (407) 200-2352
9332 S Tryon St
Charlotte, NC 28273
Phone (704) 587-6700
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
5717 Albemarle Rd
Charlotte, NC 28212
Phone (704) 563-2150
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073
1010 E Dixon Blvd
#B
Shelby, NC 28152
Phone (980) 487-2900
1010 E Dixon Blvd
Ste B
Shelby, NC 28152
Phone (980) 487-2900
Interoperability endpoints
- dboicourt71044@adventhealth.direct-ci.com
- dboicourt2907457@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 13
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.
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Rural Acute Care Hospital
- Hendersonville, NC
- NPI 1427075027
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1457380313
-
- Urgent Care Clinic/Center
- Maitland, FL
- NPI 1295367290
Family
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Family Medicine Physician
- Shelby, NC
- NPI 1770925703
-
- Rural Health Clinic/Center
- Saluda, NC
- NPI 1376371880
-
- Family Medicine Physician
- Arden, NC
- NPI 1396041075
-
- Urgent Care Clinic/Center
- The Villages, FL
- NPI 1396605440
Family
-
- Urgent Care Clinic/Center
- Melbourne, FL
- NPI 1801594858
Family
-
- Family Medicine Physician
- Huntersville, NC
- NPI 1508892746
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- Rural Acute Care Hospital
- Hendersonville, NC
- NPI 1427075027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1366089112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2242 EMERALD MINE RD",
"city": "SHELBY",
"state": "NC",
"postal_code": "281528674",
"telephone_number": "407-314-9429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 E DIXON BLVD # B",
"city": "SHELBY",
"state": "NC",
"postal_code": "281526838",
"telephone_number": "980-487-2900"
}
],
"practiceLocations": [
{
"address_1": "1360 Saxon Blvd",
"address_purpose": "LOCATION",
"city": "Orange City",
"state": "FL",
"postal_code": "327638416",
"country_code": "US",
"telephone_number": "386-917-0074",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOICOURT",
"first_name": "DIANE",
"middle_name": "WATSON",
"credential": "APRN FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-27",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5019833",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11005221",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
- Bloom a New Day Mental Health PLLC
- Blue Peak Life Recovery LLC
- Jiselle Marie Bock, MD
- Stephen J Bogan, M.D.
- Cynthia Fay Bohacek, FNP
- Boiling Springs Life Saving & Rescue Unit, Inc.
- Boiling Springs Pediatric & Family Medicine
- James John Bombenger, MD
- Jessi Bonacci, BSN, RN, IBCLC
- Joseph Bonacci, M.S., L.AC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.