Active NPI
Anthony O Boxwell, ARNP
- Gerontology Nurse Practitioner
- Seattle, WA
National Provider Identifier
1407887615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP30003649
- Practice address
- 325 9TH Ave
Seattle, WA 98104-2499 - Phone
- (206) 744-3000
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00112401 | WA | |
| Nurse Practitioner | 363L00000X | AP30003649 | WA | |
| Gerontology Nurse Practitioner | 363LG0600X | AP30003649 | WA | Primary |
Addresses
Primary practice location
325 9TH Ave
Seattle, WA 98104-2499
Mailing address
325 9TH Ave
Box 359753
Seattle, WA 98104-2499
Phone (206) 744-5415
Other practice location 1
1221 Madison St Ste 200
Seattle, WA 98104-4304
Phone (206) 386-2126
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9633868 | Medicaid | WA | |
| 0158755 | Other | WA | L&I PIN |
| 21486U | Other | WA | REGENCE BLUE SHIELD PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.1 of 100
- Quality
- 84.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00112401 | WA | MD | Registered Nurse |
| AP30003649 | WA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harborview Medical Center | Current | Accepting new patients | |
| Harborview Medical Center | Current | Accepting new patients | |
| Swedish Health Services | Past | Accepting new patients |
Locations
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1053359729
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1568557312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1407887615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 9TH AVE",
"address_2": "BOX 359753",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042499",
"telephone_number": "206-744-5415",
"fax_number": "206-744-3270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 9TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042499",
"telephone_number": "206-744-3000"
}
],
"practiceLocations": [
{
"address_1": "1221 Madison St Ste 200",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981044304",
"country_code": "US",
"telephone_number": "206-386-2126",
"fax_number": "206-991-2363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOXWELL",
"first_name": "ANTHONY",
"middle_name": "O",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00112401",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30003649",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WA",
"license": "AP30003649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9633868",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PIN",
"identifier": "0158755",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD PIN",
"identifier": "21486U",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.