Irene Renee Boesch, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

113333 Issued in NE

Practice address

3901 W Norfolk Ave
Norfolk, NE 68701-4405

Phone

(402) 844-8000

NPI assigned

Sep 1, 2020

Sex

Female

Sole proprietor

Yes

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 NE

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: irene.boesch.p1@direct.nmg25.nextgenshare.com

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.

• NMG LLC

  • Family Medicine Physician
  • Norfolk, NE
  • NPI 1851470553
  Medicare reassignment NPD
• Fountain Point Laboratory LLC

  • Clinical Medical Laboratory
  • Norfolk, NE
  • NPI 1427614551
  NPD

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1770197345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014405",
            "telephone_number": "402-844-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014405",
            "telephone_number": "402-844-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOESCH",
        "first_name": "IRENE",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liane Lynne Bode, LMHP, CPC
• Kristine Rose Boe Simmons, LCSW
• Mark A Boeding, R.P.
• Desarae Boerngen
• Chance Lawrence Boesch, DPT
• Andrea L Bogner, ATC
• Cindy Bohl
• Trey Bohlmann, MAT, ATC, LAT
• Soshia Lynn Bohn
• Bolder Beginnings

• Family Nurse Practitioner in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.