Andrea Bova

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2015034752 Issued in MO

Practice address

1463 Hwy 61
Suite B
Festus, MO 63028

Phone

(636) 933-7600

NPI assigned

Oct 23, 2015

Last updated

Oct 23, 2015By the provider in NPPES

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Alliance Health and Dermatology, LLC

  • Clinic/Center
  • Cape Girardeau, MO
  • NPI 1952958449
  Medicare reassignment NPD
• Regional Dermatology, LLC

  • Dermatology Physician
  • Festus, MO
  • NPI 1396064879
  Medicare reassignment NPD

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1740652296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 HWY 61",
            "address_2": "SUITE B",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "63028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 HWY 61",
            "address_2": "SUITE B",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "63028",
            "telephone_number": "636-933-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVA",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015034752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Bohnert, LCSW
• Joshua Paul Boldt, MD
• Wendy Boley, LCSW
• Jessica Marie Booker, PMHNP
• Heather Anne Borah, M.S., L.P.C.
• Mary Bowden
• Allen Boyer
• Kobe Boyer, D.C
• Linda S Boyer
• Eric Neil-Jensen Boyum, MD

• Family Nurse Practitioner in Festus, MO
• Providers in Festus, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.