Individual provider Active NPI

Eric Cornwell Boysen, M.D.

  • Family Medicine Physician
  • Lafayette, CO
National Provider Identifier
1437337201
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31571 Issued in CO
Practice address
2000 W South Boulder Rd
Lafayette, CO 80026-1389
Phone
(303) 665-9310
NPI assigned
Feb 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31571 CO Primary

Addresses

Primary practice location

2000 W South Boulder Rd
Lafayette, CO 80026-1389

Mailing address

1345 Plaza CT N Ste 1a
Lafayette, CO 80026-2832
Phone (303) 665-3036

Other identifiers 1

IdentifierTypeStateIssuer
01315712MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080529000636 CO Practitioner - Family Practice 8022188374 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31571COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Campesina Family Health Services Current Accepting new patients
Clinica Campesina Family Health Services CurrentSince Sep 5, 2010 Accepting new patients
Clinica Campesina Family Health Services CurrentSince Sep 5, 2010 Accepting new patients
Clinica Campesina Family Health Services Past Accepting new patients

Locations

2000 W South Boulder Rd
Lafayette, CO 80026
Phone 30366530361250

1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061

1345 Plaza Ct N
Ste 1A
Lafayette, CO 80026
Phone (303) 665-2962

1735 S Public Rd
Ste 203
Lafayette, CO 80026

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1437337201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 PLAZA CT N STE 1A",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262832",
            "telephone_number": "303-665-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W SOUTH BOULDER RD",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261389",
            "telephone_number": "303-665-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYSEN",
        "first_name": "ERIC",
        "middle_name": "CORNWELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "31571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01315712",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.