Individual provider Active NPI

Nancy Kay Boddy, FNP-BC

  • Family Nurse Practitioner
  • Kalamazoo, MI
National Provider Identifier
1760018162
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704217100 Issued in MI
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

Updated by the provider on Mar 17, 2020

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200616002249 MI Practitioner - Nurse Practitioner 5496177677 Reassigns benefits to 1 organization

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
Paragon Health PCGroup PAC ID 1658283007, 52 clinicians

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 Hospital, Battle Creek, MI, CCN 230075
  • Oaklawn Hospital Hospital, Marshall, MI, CCN 230217
  • Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704217100MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Health, PC CurrentSince Jul 1, 2020 Accepting new patients
Paragon Health PC CurrentSince Jul 1, 2020 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.