Individual provider Active NPI

Jessica E Boshers

  • Nurse Practitioner
  • Lewisburg, TN
National Provider Identifier
1902200587
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
18481 Issued in TN
Practice address
1090 N Ellington Pkwy Ste 102
Lewisburg, TN 37091-2227
Phone
(931) 359-0019
NPI assigned
Oct 10, 2014
Last updated
May 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 18481 TN Primary

Addresses

Primary practice location

1090 N Ellington Pkwy Ste 102
Lewisburg, TN 37091-2227

Mailing address

1090 N Ellington Pkwy Ste 102
Lewisburg, TN 37091-2227
Phone (931) 490-7019

Other practice location 1

165 Indian Lake Blvd
Suite 109
Hendersonville, TN 37075-6215
Phone (615) 447-0224

Other practice location 2

915 S Garden St
Columbia, TN 38401-3205
Phone (931) 548-8090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20150205002162 TN Practitioner - Nurse Practitioner 4385969799 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Maury Regional HospitalGroup PAC ID 4688569718, 31 clinicians

Practice addresses (Care Compare)

1080 N Ellington Pkwy
Lewisburg, TN 37091-2227
Phone (931) 359-6241

1090 N Ellington Pkwy
Suite 102
Lewisburg, TN 37091-2227
Phone (931) 359-0019

617 W Main St
Hohenwald, TN 38462-1355
Phone (931) 796-4901

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maury Regional Hospital Current Accepting new patients
Agape Family Health, LLC CurrentSince Dec 18, 2016 Accepting new patients
Allergy Associates, P.a. Current Accepting new patients
Allergy Associates, PA CurrentSince Dec 1, 2014 Accepting new patients
Maury Regional Hospital CurrentSince Jun 7, 2021 Accepting new patients
Maury Regional Hospital Current Accepting new patients
Allergy Associates, PA CurrentSince Dec 1, 2014 Accepting new patients
Maury Regional Hospital CurrentSince Jun 7, 2021 Accepting new patients
Family Health Group Inc Past Accepting new patients
Maury Regional Hospital Past Accepting new patients

Locations

1218 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4114

1501 Hatcher Ln
Ste A
Columbia, TN 38401
Phone (931) 548-8090

915 S Garden St
Columbia, TN 38401
Phone (931) 548-8090

165 Indian Lake Blvd
Ste 109
Hendersonville, TN 37075
Phone (615) 348-2388

617 W Main St
Hohenwald, TN 38462
Phone (931) 796-4901

6701 Baum Dr
Ste 140
Knoxville, TN 37919

801 N Weisgarber Rd
Knoxville, TN 37909

801 N Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 584-8589

1080 N Ellington Pkwy
Ste 102
Lewisburg, TN 37091

1090 N Ellington Pkwy
Ste 102
Lewisburg, TN 37091
Phone (931) 359-0019

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24835/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

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": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1902200587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 N ELLINGTON PKWY STE 102",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912227",
            "telephone_number": "931-490-7019",
            "fax_number": "931-490-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 N ELLINGTON PKWY STE 102",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912227",
            "telephone_number": "931-359-0019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Indian Lake Blvd",
            "address_2": "Suite 109",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370756215",
            "country_code": "US",
            "telephone_number": "615-447-0224",
            "fax_number": "615-447-0224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 S Garden St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384013205",
            "country_code": "US",
            "telephone_number": "931-548-8090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSHERS",
        "first_name": "JESSICA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "18481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, TN

Sources for this page

Verify at the official NPI Registry.