Individual provider Active NPI

Scott G Boggs, FNP-BC

  • Family Nurse Practitioner
  • Nitro, WV
National Provider Identifier
1750781027
Registry record updated Aug 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
68576 Issued in WV
Practice address
40 Fairland Dr
Nitro, WV 25143-1186
Phone
(304) 204-2430
Fax
(304) 397-6740
NPI assigned
Aug 24, 2014
Last updated
Aug 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2014

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 68576 WV Primary

Addresses

Primary practice location

40 Fairland Dr
Nitro, WV 25143-1186

Mailing address

40 Fairland Dr
Nitro, WV 25143-1186
Phone (304) 204-2430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20150228000098 WV Practitioner - Nurse Practitioner 1456677905 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68576WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Associates of Char LLC CurrentSince May 1, 2018 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jan 1, 2022 Accepting new patients
THS Physician Partners Inc Family CurrentSince Jun 1, 2023 Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

4605 Maccorkle Ave SW
Ste 302
South Charleston, WV 25309
Phone (304) 204-2430

4619 Kanawha Ave SW
South Charleston, WV 25309
Phone (304) 400-4545

Interoperability endpoints

  • Direct secure messaging: sboggs425031@direct.wvuhsdirect.com

Organizations & group practices 4

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": "1408838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408838400000",
    "number": "1750781027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FAIRLAND DR",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "251431186",
            "telephone_number": "304-204-2430",
            "fax_number": "304-397-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FAIRLAND DR",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "251431186",
            "telephone_number": "304-204-2430",
            "fax_number": "304-397-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "SCOTT",
        "middle_name": "G",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-24",
        "last_updated": "2014-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "68576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nitro, WV

Sources for this page

Verify at the official NPI Registry.