NICOLE BOGGS FNP-BC
NPI 1124615851
Nurse Practitioner - Family in Pueblo, CO
About Nicole Boggs Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE BOGGS FNP-BC (NPI 1124615851) is an individual family provider in Pueblo, Colorado, licensed in Colorado (0996143) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole Boggs Fnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Nicole Boggs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pueblo, CO 81004
- Reassigned Medicare billing, Colorado enrollment
- 3 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81004 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nicole Boggs's NPI number?
The NPI number for Nicole Boggs is 1124615851. It was assigned to this individual provider in the NPPES registry on December 29, 2020.
Where is Nicole Boggs located?
Nicole Boggs practices at 900 Indiana Ave, Pueblo, CO 81004. The listed phone number is (719) 924-9021.
What is Nicole Boggs's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Boggs enrolled in Medicare?
Yes. Nicole Boggs 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.
Which organization bills Medicare for Nicole Boggs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Boggs reassigns Medicare benefits to Omnicare Health Solutions, Inc. (Pueblo, CO). The 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 Nicole Boggs'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 Nicole Boggs was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Nicole Boggs, FNP-BC · NPI 1124615851
Family physician in Pueblo, Colorado. Individual provider, active in the CMS NPPES registry since December 29, 2020.
## Identity
- **NPI:** 1124615851 (Entity type: Individual)
- **Enumerated:** December 29, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0996143 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 INDIANA AVE, Pueblo, CO 81004-3766
- **Phone:** (719) 924-9021
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Omnicare Health Solutions, Inc. (NPI 1528714979, Pueblo, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 29, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1124615851) · Data from the CMS NPPES public registry.