Shanete Kadan Boling, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

208779 Issued in OK

Practice address

103 S 4TH St
Hugo, OK 74743-4407

Phone

(580) 326-8821

NPI assigned

Jun 29, 2022

Last updated

Nov 22, 2022By the provider in NPPES

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

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pushmataha Family Medical Center, IncGroup PAC ID 9537189261, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McAlester Regional Health Center Hospital, McAlester, OK, CCN 370034

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Pushmataha Family Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Clayton, OK
  • NPI 1891882676
  Medicare reassignment Care Compare group
• Texoma Physicians Group, PLLC

  • Pediatrics Physician
  • Sherman, TX
  • NPI 1295395911
  NPD (past)

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

• McAlester Regional Health Center Authority

  dba McAlester Regional Health Center

  • Rural Acute Care Hospital
  • McAlester, OK
  • NPI 1316940034
  Care Compare affiliation

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1881326650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S 4TH ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S 4TH ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434407",
            "telephone_number": "580-326-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLING",
        "first_name": "SHANETE",
        "middle_name": "KADAN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "208779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Bell
• Debbie K Benjamin
• Cindy Renee Bigfeather
• BJLJ Enterprise LLC.
• Kimberly Paige Bolding
• Marsha Bond
• Sean D Boone, D.O.
• Janitra D Bostic, PSRS
• Carla Sue Bourne, M.S., L.B.P.
• Brittani Boykin, BSN, RN, CPN

• Family Nurse Practitioner in Hugo, OK
• Providers in Hugo, 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 Nov 22, 2022; 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.