Individual provider Active NPI

Anne Bosslet, FNP

  • Family Nurse Practitioner
  • West Hollywood, CA
National Provider Identifier
1780299909
Registry record updated Oct 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012809 Issued in CA
Practice address
8491 Santa Monica Blvd
West Hollywood, CA 90069-4218
Phone
(310) 360-7303
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 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 95012809 CA Primary

Addresses

Primary practice location

8491 Santa Monica Blvd
West Hollywood, CA 90069-4218

Mailing address

8491 Santa Monica Blvd
West Hollywood, CA 90069-4218
Phone (310) 360-7303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201222003010 CA Practitioner - Nurse Practitioner 4789096488 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95012809CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serra Community Medical Clinic Inc CurrentSince May 15, 2022 Accepting new patients
Serra Community Medical Clinic, Inc. CurrentSince May 15, 2022 Accepting new patients

Locations

9375 San Fernando Rd
Sun Valley, CA 91352
Phone (818) 504-4700

Interoperability endpoints

  • Direct secure messaging: boa266pcs@m1606.primeclinicalsystems.direct-ci.com
  • Direct secure messaging: anne.bosslet.1@25843.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602892800000",
    "number": "1780299909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8491 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694218",
            "telephone_number": "310-360-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8491 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694218",
            "telephone_number": "310-360-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSLET",
        "first_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.