Individual provider Active NPI

Diane Watson Boicourt, APRN FNP-BC

  • Family Nurse Practitioner
  • Shelby, NC
National Provider Identifier
1366089112
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5019833 Issued in NC
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

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC2 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
I20220715002246 FL Practitioner - Nurse Practitioner 1951782333 Reassigns benefits to 2 organizations
I20240620000600 NC Practitioner - Nurse Practitioner 1951782333 Reassigns benefits to 3 organizations

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
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians
Fletcher Hospital IncGroup PAC ID 5395658819, 302 clinicians

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 Hospital, Hendersonville, NC, CCN 340023
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11005221FLMDFamily Nurse Practitioner
5019833NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Hospital Inc. Current Accepting new patients
Fletcher Hospital Inc CurrentSince May 1, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 19, 2024 Accepting new patients
Arboretum Urgent Care Center CurrentSince Aug 19, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 19, 2024 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family CurrentSince Apr 4, 2023 Accepting new patients
Adventist Health System Sunbelt, Inc. Family CurrentSince Apr 4, 2023 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Urgent Care Centers of Brevard County LLC Family CurrentSince Apr 4, 2023 Accepting new patients
Urgent Care Centers of Brevard County LLC Family CurrentSince Apr 4, 2023 Accepting new patients
Fletcher Hospital Inc CurrentSince May 1, 2024 Accepting new patients
Carolinas Physicians Network Inc PastSince Jul 21, 2024 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

  • Direct secure messaging: dboicourt71044@adventhealth.direct-ci.com
  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 8

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": "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

Sources for this page

Verify at the official NPI Registry.