MRS. LINDA GEORGETTE BOULWARE APRN
NPI 1063000669
Nurse Practitioner - Family in Chicago, IL

Active since January 08, 2021PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2045 W GRAND AVE STE B, CHICAGO, IL 60612(888) 660-4425 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Linda Georgette Boulware Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LINDA GEORGETTE BOULWARE APRN (NPI 1063000669) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.022606) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063000669
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LINDA GEORGETTE BOULWARECredential: APRN
Location Address2045 W GRAND AVE STE BChicago, IL 60612-1577
Mailing Address1591 Abbott StCarlyle, IL 62231-1107 · (618) 741-8431
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 8, 2021
NPPES CertifiedJanuary 8, 2021
NPI 1063000669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209.022606
2045 W GRAND AVE STE B, Chicago, IL 60612

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Linda Georgette Boulware Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769897701
PECOS Enrollment IDI20210224002422, I20211103003365
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
245 services71 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
202 services128 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
110 services73 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
105 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
66 services53 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
64 services24 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Crossroads Community Hospital

Acute Care Hospitals · Mount Vernon, IL
OwnershipProprietary
CMS Certification Number140294
Location8 Doctors Park RdMount Vernon, IL 62864 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers18 claims460 services$7.08 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
2 suppliers14 claims990 services$0.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Counselor (Professional)
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Health and Wellness Coach
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Physician Assistant (Medical)
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Health and Wellness Coach
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Dietitian, Registered
2045 W GRAND AVE STE B, PMB 37767
CHICAGO, IL 60612
Nurse Practitioner (Psychiatric/Mental Health)
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Psychiatry & Neurology (Neurology)
2045 W GRAND AVE STE B
CHICAGO, IL 60612

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 Linda Boulware's NPI number?

The NPI number for Linda Boulware is 1063000669. It was assigned to this individual provider in the NPPES registry on January 8, 2021.

Where is Linda Boulware located?

Linda Boulware practices at 2045 W Grand Ave Ste B, Chicago, IL 60612. The listed phone number is (888) 660-4425.

What is Linda Boulware's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Linda Boulware enrolled in Medicare?

Yes. Linda Boulware is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Linda Boulware accept?

Health plans from UnitedHealthcare list Linda Boulware as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Linda Boulware affiliated with any hospitals?

According to CMS data, Linda Boulware is affiliated with Ssm Health St Mary's Hospital -Centralia, Good Samaritan Regional Hlth Center and Crossroads Community Hospital.

When was this NPI record last updated?

The NPPES record for Linda Boulware was last updated on January 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.