Individual provider Active NPI

Nikole Lyn Boshonek, MSN, FNP-BC, DIPACLM

  • Family Nurse Practitioner
  • Leesburg, VA
National Provider Identifier
1790084176
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024169311 Issued in VA
Practice address
104 Church St SE Ste 104
Leesburg, VA 20175-3055
Phone
(571) 440-2755
Fax
(800) 420-3682
NPI assigned
Mar 24, 2011
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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 0024169311 VA Primary

Addresses

Primary practice location

104 Church St SE Ste 104
Leesburg, VA 20175-3055

Mailing address

43604 Emerald Dunes PL
Leesburg, VA 20176-3967
Phone (757) 619-4846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 9, 2025 through May 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Physicians of Hampton Roads PC PastSince Feb 26, 2026 Accepting new patients

Organizations & group practices 1

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": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1790084176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43604 EMERALD DUNES PL",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763967",
            "telephone_number": "757-619-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CHURCH ST SE STE 104",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753055",
            "telephone_number": "571-440-2755",
            "fax_number": "800-420-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSHONEK",
        "first_name": "NIKOLE",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC, DIPACLM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.