Allison Leigh Dolan-Boschert, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2018036935 Issued in MO

Practice address

3915 Watson Rd
Saint Louis, MO 63109-1267

Phone

(314) 881-0300

Fax

(314) 881-0321

NPI assigned

Sep 27, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Madhuram LLCGroup PAC ID 3072911825, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: southstlouismedicalassociates.kamleshvyas@119671.advancedmd-direct.com

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.

• Madhuram LLC

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1144899162
  Medicare reassignment Care Compare group NPD
• South St Louis Medical Associates LLC

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1750681151
  Medicare reassignment NPD

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1659922946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630800445",
            "telephone_number": "314-881-0300",
            "fax_number": "314-881-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091267",
            "telephone_number": "314-881-0300",
            "fax_number": "314-881-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN-BOSCHERT",
        "first_name": "ALLISON",
        "middle_name": "LEIGH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2018036935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SouthStLouisMedicalAssociates.KamleshVyas@119671.advancedmd-direct.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3915 Watson Rd",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631091267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Natnael Beyene Doilicho, MD
• Ernest C Doiron, O.D.
• Jessica R Doiron, ANP
• Steffanie Renee Doke, CRNA
• Fabian Doktor, MD MSC
• Catherine M Dolan, SLP
• Hilary Lynn Dolan, DPT
• Kathleen A Dolan, OT
• Martha Dolan, LCSW
• Mary Elizabeth Dolan, P.A.

• Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.

Verify at the official NPI Registry.