Jaclyn Nicole Boggs, NP in Saint Albans, NY - Medicare Nurse Practitioner

Jaclyn Nicole Boggs, NP is a medicare enrolled "Nurse Practitioner - Family" in Saint Albans, New York. Her current practice location is 11714 197th St # 2, Saint Albans, New York. You can reach out to her office (for appointments etc.) via phone at (772) 267-0331.

Jaclyn Nicole Boggs is licensed to practice in New York (license number 348277) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184391088.

Contact Information

	Jaclyn Nicole Boggs, NP
	11714 197th St # 2, Saint Albans, NY 11412-3454
	(772) 267-0331
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaclyn Nicole Boggs
Gender	Female
Speciality	Nurse Practitioner - Family
Location	11714 197th St # 2, Saint Albans, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184391088
Provider Enumeration Date: 08/27/2021
Last Update Date: 11/27/2025

Medicare PECOS Information:

PECOS PAC ID: 6103298401
Enrollment ID: I20230215000911

Medical Identifiers

Medical identifiers for Jaclyn Nicole Boggs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184391088	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	703222 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	348277 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jaclyn Nicole Boggs allows following entities to bill medicare on her behalf.

Entity Name	Rd Medical Professional Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811643166 PECOS PAC ID: 8628463296 Enrollment ID: O20220325000700

Entity Name	Kim Medical Of New York Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770230039 PECOS PAC ID: 6002299310 Enrollment ID: O20221123000626

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaclyn Nicole Boggs is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jaclyn Nicole Boggs, NP 11714 197th St # 2, Saint Albans, NY 11412-3454 Ph: (772) 267-0331	Jaclyn Nicole Boggs, NP 11714 197th St # 2, Saint Albans, NY 11412-3454 Ph: (772) 267-0331

Reviews and Comments

Nurse Practitioner Nurses in Saint Albans, NY

Mrs. Lys Claudie Perard, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18540 Jordan Ave, Saint Albans, NY 11412 Phone: 718-208-3089
Ann-marie Civil, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19432 111th Ave, Saint Albans, NY 11412 Phone: 646-691-6477
Chanelle Gordon, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11816 197th St, Saint Albans, NY 11412 Phone: 347-752-8240
Farah Hilaire, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11631 205th St Fl 2, Saint Albans, NY 11412 Phone: 347-481-5644
Kecha L. Drysdale-bernard, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11121 197th St, Saint Albans, NY 11412 Phone: 718-710-8609
Mrs. Abbi-gail Natasha Baboolal, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10414 195th St, Saint Albans, NY 11412 Phone: 718-464-5292 Fax: 718-464-5292
Ms. Kim Angel James, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11134 Farmers Blvd, St. Albans, Saint Albans, NY 11412 Phone: 718-454-1466 Fax: 718-554-7123

Jaclyn Nicole Boggs, NP - Medicare Nurse Practitioner in Saint Albans, NY