Individual provider Active NPI

Jillian Marie Boser, APNP

  • Family Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1447502745
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5039-33 Issued in WI
Practice address
535 N 27TH St
Milwaukee, WI 53208-4029
Phone
(414) 345-3000
Fax
(414) 345-3001
NPI assigned
Oct 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5039-33 WI Primary

Addresses

Primary practice location

535 N 27TH St
Milwaukee, WI 53208-4029

Mailing address

5466 N 12TH St
Milwaukee, WI 53209-5104
Phone (414) 550-7489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5039-33WIMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jboser29700@direct.chw.org

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1447502745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5466 N 12TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095104",
            "telephone_number": "414-550-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N 27TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532084029",
            "telephone_number": "414-345-3000",
            "fax_number": "414-345-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSER",
        "first_name": "JILLIAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "5039-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.