Simonne Boswell

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R236663 Issued in MD

Practice address

6480 Old Waterloo Rd
Elkridge, MD 21075-6508

Phone

(866) 389-2727

NPI assigned

Aug 2, 2024

Sex

Female

Sole proprietor

Yes

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.

• Minuteclinic LLC

  • Family Nurse Practitioner
  • Rockville, MD
  • NPI 1134191836
  Medicare reassignment Care Compare group NPD DC · FAMILY · MD
• Minuteclinic Primary Care Maryland LLC

  • Family Nurse Practitioner
  • Potomac, MD
  • NPI 1487461034
  Medicare reassignment NPD DC · FAMILY · MD

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minuteclinic LLC 576 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles (2 of 6)

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 23, 2024.

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1962232199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 OLD WATERLOO RD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 OLD WATERLOO RD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756508",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "SIMONNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R236663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Katarzyna Bonney, CRNP-F
• Alexander Sylvain Bopda
• Danielle Chekam Bopda
• Henriette G Bopda
• Priscilla Amfo Bossman, NP-C
• Adaline C Bowen, CPHT
• April Eileen Bowen, RN
• Rosemarie McCall Brager, CRNP
• Bright Paths Home Health
• Frank A Broner, M.D.

• All providers in Elkridge, MD
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.