Melanie Shanell Boggs, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

110497 Issued in OK

Practice address

9800 Broadway Ext Ste 204
Oklahoma City, OK 73114-6303

Phone

(405) 419-5926

Fax

(405) 419-5905

NPI assigned

Oct 23, 2018

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hpi Physicians LLC

  • General Practice Physician
  • Edmond, OK
  • NPI 1205152600
  Medicare reassignment NPD
• The Physicians Group LLC

  • General Practice Physician
  • Oklahoma City, OK
  • NPI 1487620381
  Medicare reassignment NPD
• Elite Pain Solutions LLC

  • Pain Medicine Physician
  • Oklahoma City, OK
  • NPI 1780816298
  Medicare reassignment
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1851867238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 BROADWAY EXT STE 204",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146303",
            "telephone_number": "405-419-5926",
            "fax_number": "405-419-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 BROADWAY EXT STE 204",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146303",
            "telephone_number": "405-419-5926",
            "fax_number": "405-419-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "MELANIE",
        "middle_name": "SHANELL",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "110497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851867238",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "9800 Broadway Ext Ste 204",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731146303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brooke Boettler
• Bogardus Vision Clinic PC
• Carl Robert Bogardus, O.D.
• Brian R Boggs, MD
• David Stewart Boggs, M.D.
• Robert D Boggs, D.C.
• Amanda L Bogie, MD
• Brett Bogie
• Charles P Bogie III, M.D.
• Gemini J Bogie, M.D.

• Family Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.