Individual provider Active NPI

Emily Boegner, FNP-C

  • Family Nurse Practitioner
  • Chevy Chase, MD
National Provider Identifier
1760151955
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R231631 Issued in MD
Practice address
5530 Wisconsin Ave Ste 1418
Chevy Chase, MD 20815-4302
Phone
(301) 986-1880
NPI assigned
Sep 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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 R231631 MD Primary

Addresses

Primary practice location

5530 Wisconsin Ave Ste 1418
Chevy Chase, MD 20815-4302

Mailing address

100 Shawan Rd Unit 501
Cockeysville, MD 21030-1481
Phone (443) 902-0413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20220412000263 MD Practitioner - Nurse Practitioner 6901202076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Maryland PCGroup PAC ID 9931489804, 43 clinicians

Practice addresses (Care Compare)

7505 Osler Dr
Suite 308
Towson, MD 21204-7738
Phone (410) 472-0901

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
78.47
Promoting interoperability
83
Improvement activities
40
Cost
82.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R231631MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Maryland PC CurrentSince May 1, 2022 Accepting new patients
Cronin Dermatology and Skin Cancer Center, LLC CurrentSince Sep 17, 2021 Accepting new patients
Advanced Dermatology of Maryland PC Current Accepting new patients
Advanced Dermatology of Maryland PC CurrentSince May 1, 2022 Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

3445 Box Hill Corporate Center Dr
Ste E
Abingdon, MD 21009
Phone (410) 472-1006

5530 Wisconsin Ave
Ste 1418
Chevy Chase, MD 20815
Phone (301) 986-1880

10153 York Rd
Ste 104
Hunt Valley, MD 21030
Phone (410) 472-0901

7505 Osler Dr
Ste 308
Towson, MD 21204
Phone (410) 296-1464

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1760151955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHAWAN RD UNIT 501",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210301481",
            "telephone_number": "443-902-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1418",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154302",
            "telephone_number": "301-986-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEGNER",
        "first_name": "EMILY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R231631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.