Mandy Boswell

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

127036 Issued in WV

Practice address

1993 Silver Knight Dr
Sistersville, WV 26175-9600

Phone

(304) 758-2145

NPI assigned

Oct 13, 2011

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tyler County Board of Education

  • Local Education Agency (LEA)
  • Sistersville, WV
  • NPI 1043489701
  NPD (past)
• Tyler County Board of Education

  • Local Education Agency (LEA)
  • Sistersville, WV
  • NPI 1538337639
  NPD (past)

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1770868424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1993 SILVER KNIGHT DR",
            "city": "SISTERSVILLE",
            "state": "WV",
            "postal_code": "261759600",
            "telephone_number": "304-758-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1993 SILVER KNIGHT DR",
            "city": "SISTERSVILLE",
            "state": "WV",
            "postal_code": "261759600",
            "telephone_number": "304-758-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "MANDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "127036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trey Baker
• Rogelio O Bantug, MD
• Tammy Lee Bassett
• Devin Michael Blair
• Anissa Paige Bohrer X
• Stephanie Brown
• Brian M Camerlin, PHARMD
• Lindsay Raye Camerlin, PHARMD
• Robert N. Christen II, DO
• City of Sistersville

• Family Nurse Practitioner in Sistersville, WV
• Providers in Sistersville, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.