Jan Matthew Bosch, BSN, RN, MSN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95023295 Issued in CA

Practice address

190 S Oak Ave Ste 1
Oakdale, CA 95361-3528

Phone

(209) 848-8410

NPI assigned

Nov 9, 2022

Last updated

May 3, 2024By the provider in NPPES

Sex

Male

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

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathways Nursing Practitioners, Inc.Group PAC ID 7911902853, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

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.

• Pathways Nursing Practitioners, Inc.

  dba Pathway HealthCare

  • Rural Health Clinic/Center
  • Oakdale, CA
  • NPI 1982797239
  Care Compare group NPD (past)

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1851009724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 S OAK AVE STE 1",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613528",
            "telephone_number": "209-848-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S OAK AVE STE 1",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613528",
            "telephone_number": "209-848-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCH",
        "first_name": "JAN MATTHEW",
        "credential": "BSN, RN, MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-09",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Benbow
• Paul Michael Bezas, PA-C
• Bruce Alan Blackhart, M.D.
• Scott Parker Blackhart, D.M.D.
• Bordonas Oakdale Furniture TV and Appliance
• Nicole Bowen
• Danielle Elise Christina Boyd, OD
• Braden Partners LP (Pacific Pulmonary Services)
• John Taylor Brennan, D.C.
• Sharon A Briar-Garner, LMFT

• Family Nurse Practitioner in Oakdale, CA
• Providers in Oakdale, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.

Verify at the official NPI Registry.