TANDIKA BOATSWAIN NP
NPI 1003163742
Nurse Practitioner - Family in Bronx, NY
About Tandika Boatswain Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TANDIKA BOATSWAIN NP (NPI 1003163742) is an individual family provider in Bronx, New York, licensed in New York (F344907) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tandika Boatswain Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Tandika Boatswain reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bronx, NY 10453
- Reassigned Medicare billing, New York enrollment
- 1,393 clinicians in this Medicare group
Bronx, NY 10452
- Reassigned Medicare billing, New York enrollment
- 683 clinicians in this Medicare group
Bronx, NY 10461
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Bronx Medical Practice PC
- 1,013 clinicians in this Medicare group
Bronx, NY 10461
- Reassigned Medicare billing, New York enrollment
- 1,054 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10453
BRONX, NY 10453
BRONX, NY 10453
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tandika Boatswain's NPI number?
The NPI number for Tandika Boatswain is 1003163742. It was assigned to this individual provider in the NPPES registry on August 13, 2012.
Where is Tandika Boatswain located?
Tandika Boatswain practices at 2015 Grand Concourse, Bronx, NY 10453. The listed phone number is (718) 299-7295.
What is Tandika Boatswain's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tandika Boatswain enrolled in Medicare?
Yes. Tandika Boatswain is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tandika Boatswain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tandika Boatswain reassigns Medicare benefits to 4 organizations: Essen Medical Associates, PC (Bronx, NY), Essen Medical Urgicare, PLLC (Bronx, NY), Bronx Medical Practice P.C. (Bronx, NY) and House Call Medical Services Of New York, PLLC (Bronx, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tandika Boatswain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tandika Boatswain was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tandika Boatswain, NP · NPI 1003163742
Family physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since August 13, 2012.
## Identity
- **NPI:** 1003163742 (Entity type: Individual)
- **Enumerated:** August 13, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F344907 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2015 GRAND CONCOURSE, Bronx, NY 10453-4303
- **Phone:** (718) 299-7295 · **Fax:** (718) 299-6797
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Essen Medical Associates, PC (NPI 1366418709, Bronx, NY); Essen Medical Urgicare, PLLC (NPI 1841607298, Bronx, NY); Bronx Medical Practice P.C. (NPI 1356726087, Bronx, NY); House Call Medical Services Of New York, PLLC (NPI 1851345946, Bronx, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 23, 2022
- **Other identifiers:** Other 660314 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1003163742) · Data from the CMS NPPES public registry.