Individual provider Active NPI

Holly Frey Bosse, FNP-C

  • Family Nurse Practitioner
  • Auburn, ME
National Provider Identifier
1649935479
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP211383 Issued in ME
Practice address
791 Turner St Unit 2
Auburn, ME 04210-6314
Phone
(207) 330-3900
Fax
(207) 330-3940
NPI assigned
Nov 6, 2021
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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 CNP211383 ME Primary

Addresses

Primary practice location

791 Turner St Unit 2
Auburn, ME 04210-6314

Mailing address

PO Box 95000 LBX 7650
Philadelphia, PA 19195-0001

Other practice location 1

15 Enterprise Dr
Augusta, ME 04330-7997
Phone (207) 621-8880

Other practice location 2

93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-8120

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Holly.Bosse@MaineGeneral.org Direct
Direct Messaging Address hbosse1369208@direct.bsmhealth.org St. Mary's Regional Medical Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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

Enrollment IDStateProvider typePAC IDDetails
I20211214001686 ME Practitioner - Nurse Practitioner 0840680401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Regional Medical CenterGroup PAC ID 0042107120, 192 clinicians

Practice addresses (Care Compare)

791 Turner St
Unit 2
Auburn, ME 04210-6314
Phone (207) 330-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP211383MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Regional Medical Center CurrentSince Oct 31, 2022 Accepting new patients
St. Mary's Regional Medical Center Current Accepting new patients
Mainegeneral Medical Center CurrentSince Nov 22, 2021 Accepting new patients
Mainegeneral Medical Center CurrentSince Nov 22, 2021 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Oct 31, 2022 Accepting new patients

Locations

791 Turner St
#2
Auburn, ME 04210
Phone (207) 330-3900

15 Enterprise Dr
Augusta, ME 04330
Phone (207) 621-7500

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1636156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1649935479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000 LBX 7650",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191950001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 TURNER ST UNIT 2",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106314",
            "telephone_number": "207-330-3900",
            "fax_number": "207-330-3940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Enterprise Dr",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043307997",
            "country_code": "US",
            "telephone_number": "207-621-8880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "93 Campus Ave",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042406030",
            "country_code": "US",
            "telephone_number": "207-777-8120",
            "fax_number": "207-777-8984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSSE",
        "first_name": "HOLLY",
        "middle_name": "FREY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-06",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP211383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Holly.Bosse@MaineGeneral.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15 Enterprise Dr",
            "city": "Augusta",
            "state": "ME",
            "country_code": "US",
            "postal_code": "043307997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hbosse1369208@direct.bsmhealth.org",
            "affiliation": "Y",
            "affiliationName": "St. Mary's Regional Medical Center",
            "address_1": "791 Turner St Unit 2",
            "city": "Auburn",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042106314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

Verify at the official NPI Registry.