Jessica E Boshers
Individual provider Active NPI Nurse Practitioner · Lewisburg, TN
NPI 1902200587 · NPPES record last updated May 12, 2021
Key facts
- NPI
- 1902200587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 18481 (TN)
- Practice address
- 1090 N Ellington Pkwy Ste 102
Lewisburg, TN 37091-2227 - Phone
- (931) 359-0019
- NPI assigned
- Oct 10, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Maury Regional Hospital
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
- Marshall Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150205002162 | TN | Practitioner - Nurse Practitioner | 4385969799 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Associates, PA | Current |
Accepting new patients | |
| Maury Regional Hospital | Current |
Accepting new patients | |
| Maury Regional Hospital | Current |
Accepting new patients | |
| Maury Regional Hospital | Current | Accepting new patients | |
| Maury Regional Hospital | Current | Accepting new patients | |
| Allergy Associates, PA | Current |
Accepting new patients | |
| Agape Family Health, LLC | Current |
Accepting new patients | |
| Allergy Associates, P.a. | Current | Accepting new patients | |
| Maury Regional Hospital | Past | Accepting new patients | |
| Family Health Group Inc | Past | Accepting new patients |
Locations
915 S Garden St
Columbia, TN 38401
Phone (931) 548-8090
1218 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4114
1501 Hatcher Ln
Ste A
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
801 N Weisgarber Rd
Knoxville, TN 37909
6701 Baum Dr
Ste 140
Knoxville, TN 37919
801 N Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (655) 848-5888
1080 N Ellington Pkwy
Ste 102
Lewisburg, TN 37091
1090 N Ellington Pkwy
Ste 102
Lewisburg, TN 37091
Phone (931) 359-0019
Interoperability endpoints
- https://api.platform.athenahealth.com/24835/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 18481 | TN | Yes |
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
Other providers in Lewisburg, TN
- Bio-Medical Applications of Tennessee, Inc.
- Christopher B Bishop
- Melinda Black
- Marijo Cooper Bond
- George Bone
- Carolyn J Brace
- Rebecca Brady
- Raymond Curtis Branch
- Lindsey Taylor Brock
- Brenda Lee Broom
All providers in Lewisburg, TN · Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.