Individual provider Active NPI

Natalie Elizabeth Bovino, FNP-C

  • Family Nurse Practitioner
  • Boone, NC
National Provider Identifier
1871059998
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5011469 Issued in NC
Practice address
345 Deerfield Rd
Boone, NC 28607-5009
Phone
(828) 434-3479
Fax
(754) 218-0891
NPI assigned
Feb 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5011469 NC Primary
Primary Care Nurse Practitioner 363LP2300X 5011469 NC

Addresses

Primary practice location

345 Deerfield Rd
Boone, NC 28607-5009

Mailing address

888 Raven Rock Dr # 28607
Boone, NC 28607-5115
Phone (754) 218-0891

Other practice location 1

109 State St Ste 5
Boston, MA 02109-2906
Phone (617) 505-1520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190402000142 NC Practitioner - Nurse Practitioner 0941541916 Reassigns benefits to 1 organization
I20260409002572 TX Practitioner - Nurse Practitioner 0941541916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Form Health Associates Ma, P.C.Group PAC ID 3375953961, 42 clinicians

Practice addresses (Care Compare)

325 N Saint Paul St
Suite 3100
Dallas, TX 75201-3923
Phone (617) 505-1520

888 Raven Rock Dr
Boone, NC 28607-5115
Phone (828) 434-3479

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5011469NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foxfire Health PLLC Family CurrentSince May 4, 2024 Accepting new patients
Form Health Associates, P.C. Past Accepting new patients
Form Health Associates Ma, P.C. Past Accepting new patients

Locations

345 Deerfield Rd
Boone, NC 28607
Phone (828) 264-3055

Interoperability endpoints

  • Direct secure messaging: nbovino432550@direct.unc.nchie.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1871059998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 RAVEN ROCK DR # 28607",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075115",
            "telephone_number": "754-218-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 DEERFIELD RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075009",
            "telephone_number": "828-434-3479",
            "fax_number": "754-218-0891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 State St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021092906",
            "country_code": "US",
            "telephone_number": "617-505-1520",
            "fax_number": "617-928-8401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOVINO",
        "first_name": "NATALIE",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011469",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5011469",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.