Nicole Lorraine Boers, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN183618 Issued in AZ

Practice address

1910 E June Cir
Mesa, AZ 85203-2854

Phone

(480) 241-5298

NPI assigned

Nov 16, 2022

Last updated

Nov 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 AZ

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

Midwest Wellness and Wound Care LLCGroup PAC ID 0244755635, 4 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest Wellness and Wound Care LLC

  • General Practice Physician
  • Tulsa, OK
  • NPI 1033904040

  AZ

  Medicare reassignment Care Compare group
• Neushape LLC

  dba Valley Home Wound Care

  • Surgery Physician
  • Scottsdale, AZ
  • NPI 1063230944
  Medicare reassignment NPD
• Curative Specialty Care LLC

  • Adult Health Nurse Practitioner
  • Litchfield Park, AZ
  • NPI 1144911645

  Family

  NPD

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1912616285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 E JUNE CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032854",
            "telephone_number": "480-241-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 E JUNE CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032854",
            "telephone_number": "480-241-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERS",
        "first_name": "NICOLE",
        "middle_name": "LORRAINE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN183618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John James Bodine, PT, OCS
• Body Wellness Institute LLC
• Tammy Boe-Kipp
• Delaney Marie Boehlert
• Cheryl Boehmer, M.N.S. CCC-SLP
• David E. Boesch, M.D.
• Chad Boesl, CRNA
• Kristine Elayne Boetel, COTAL
• James A Bogash, D.C.
• Anabel Marie Bogdan, RN

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.