Madison Whitlock Boswell, CPNP-PC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5012980 Issued in NC

Practice address

2001 Todays Woman Ave
Winston Salem, NC 27105-5069

Phone

(336) 722-1818

Fax

(336) 722-1826

NPI assigned

Mar 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mboswell1153106@direct.novanthealth.org

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.

• Novant Health Medical Group, LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492
  Medicare reassignment NPD
• Novant Health Medical Group LLC

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1922721141
  NPD
• Novant Health Medical Group, LLC

  • Obstetrics & Gynecology Physician
  • Matthews, NC
  • NPI 1386506137
  NPD
• High Point Pediatrics

  • Pediatrics Physician
  • High Point, NC
  • NPI 1922198977
  NPD (past)

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1578199865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 WESTWOOD AVE STE 103",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624316",
            "telephone_number": "336-409-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 TODAYS WOMAN AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271055069",
            "telephone_number": "336-722-1818",
            "fax_number": "336-722-1826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Westwood Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272624316",
            "country_code": "US",
            "telephone_number": "336-409-6504",
            "fax_number": "336-889-5252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "MADISON",
        "middle_name": "WHITLOCK",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Bost
• Michael Earl Bost, D.D.S.
• Sarah Jane Bost, M.D.
• Vanessa Elisabeth Bostwick, FNP
• Lee Boswell, PT,DPT, ATC,CMTPT
• Howard Thomas Bosworth, PSY.D.
• Alyssa Szymanski Botte, LPC
• Bottom Up Outreach Center
• Trenton Bottoms, DDS
• Sydnie Christmas Bottorff

• Nurse Practitioner in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.