Active NPI
Nancy Kay Boddy, FNP-BC
- Family Nurse Practitioner
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704217100
- Practice address
- 521 E Michigan Ave Ste 201
Kalamazoo, MI 49007-3889 - Phone
- (269) 349-6759
- NPI assigned
- Mar 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704217100 | MI | Primary |
Addresses
Primary practice location
521 E Michigan Ave Ste 201
Kalamazoo, MI 49007-3889
Mailing address
521 E Michigan Ave Ste 201
Kalamazoo, MI 49007-3889
Phone (269) 349-6759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
521 E Michigan Ave
201 Nephrology Center
Kalamazoo, MI 49007-3889
Phone (269) 349-6759
Hospital & facility affiliations
- Bronson Battle Creek Hospital
- Oaklawn Hospital
- Borgess Medical Center
- Bronson Methodist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704217100 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Health, PC | Current | Accepting new patients | |
| Paragon Health PC | Current | Accepting new patients |
Locations
730 Airway Dr
Allegan, MI 49010
Phone (269) 673-1700
2845 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 979-6333
233 Roosevelt Ave E
Ste 103
Battle Creek, MI 49037
Phone (269) 979-0409
521 E Michigan Ave
Ste 201
Kalamazoo, MI 49007
Phone (269) 226-2656
215 E Mansion St
Ste 1D
Marshall, MI 49068
Phone (269) 781-7150
215 E Mansion St
Ste 1H
Marshall, MI 49068
Phone (269) 789-0025
451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725
711 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691
8816 Red Arrow Hwy
Watervliet, MI 49098
Phone (269) 384-2230
Organizations & group practices 2
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.
-
- Nephrology Physician
- Kalamazoo, MI
- NPI 1083678767
-
- Pediatrics Physician
- Portage, MI
- NPI 1427848845
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
- General Acute Care Hospital
- Battle Creek, MI
- NPI 1083644579
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
-
- General Acute Care Hospital
- Marshall, MI
- NPI 1861475360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1760018162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 E MICHIGAN AVE STE 201",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490073889",
"telephone_number": "269-349-6759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 E MICHIGAN AVE STE 201",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490073889",
"telephone_number": "269-349-6759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODDY",
"first_name": "NANCY",
"middle_name": "KAY",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-17",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704217100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.