Active NPI
Tonya Ann Bosaw, NP
- Family Nurse Practitioner
- Maryville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209021557
- Practice address
- 6812 State Route 162 Ste 204
Maryville, IL 62062-8562 - Phone
- (618) 391-5070
- NPI assigned
- Aug 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209021557 | IL | Primary |
Addresses
Primary practice location
6812 State Route 162 Ste 204
Maryville, IL 62062-8562
Mailing address
301 Saint Marys St
Bethalto, IL 62010-1230
Phone (618) 531-3442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6812 State Route 162
Suite 204
Maryville, IL 62062-8562
Phone (618) 391-5070
Hospital & facility affiliations
- Anderson Hospital
- St Francis Hospital
- HSHS St Elizabeth'S Hospital
- Community Hospital of Staunton
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.76 of 100
- Quality
- 54.98
- Promoting interoperability
- 85
- Improvement activities
- 40
- Cost
- 73.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Medical Group, LLC | Current | Accepting new patients |
Locations
6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405
6812 State Route 162
Ste 204
Maryville, IL 62062
Phone (618) 288-6464
6810 State Route 162
Maryville, IL 62062
Phone (618) 288-0060
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 and National Provider Directory roles.
-
- General Practice Physician
- Maryville, IL
- NPI 1700807716
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
- Critical Access Hospital
- Staunton, IL
- NPI 1750308631
-
- General Acute Care Hospital
- O Fallon, IL
- NPI 1629057302
-
- Critical Access Hospital
- Litchfield, IL
- NPI 1326057076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597968000000",
"number": "1821600693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 SAINT MARYS ST",
"city": "BETHALTO",
"state": "IL",
"postal_code": "620101230",
"telephone_number": "618-531-3442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6812 STATE ROUTE 162 STE 204",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620628562",
"telephone_number": "618-391-5070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSAW",
"first_name": "TONYA",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-21",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209021557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.