1. Home
  2. Directory
  3. New York
  4. Saint Albans
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACLYN NICOLE BOGGS NP
NPI 1184391088
Nurse Practitioner - Family in Saint Albans, NY

Active since August 27, 2021PECOS Enrolled
11714 197TH ST # 2, SAINT ALBANS, NY 11412(772) 267-0331 Get Directions Write a Review

NPPES record last updated: August 16, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 16, 2026, Nov 27, 2025, Feb 7, 2023 and 1 more (4 updates tracked since 2021).

About Jaclyn Nicole Boggs Np NPPES

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

JACLYN NICOLE BOGGS NP (NPI 1184391088) is an individual family provider in Saint Albans, New York, licensed in New York (348277) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Far Rockaway.

NPPES Registry Identity

NPI1184391088
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACLYN NICOLE BOGGSCredential: NP
Location Address11714 197TH ST # 2Saint Albans, NY 11412-3454
Mailing Address11714 197th StSaint Albans, NY 11412-3454 · (612) 568-3843 · Fax (915) 277-3221
Phone(772) 267-0331
Sole ProprietorNo
Enumeration DateAugust 27, 2021
Last NPPES UpdateAugust 16, 20264 updates tracked since enumeration
NPPES CertifiedAugust 16, 2026
✔ NPI 1184391088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 348277
Also ListedNurse PractitionerTaxonomy 363L00000X · License 2681020 (ID), LG-0013731 (DE), 4704441979APP26 (MI), 204604 (ND), A193176 (IA), 53-85627-081 (KS), 11045668 (FL), APN.1001762-NP (CO), CNP261398 (ME), 12.018059 (CT), APRN-287365 (MT), 209.035226 (IL), APRN-6027 (HI), APRN-RNP337884 (AZ)
11714 197TH ST # 2, Saint Albans, NY 11412
Open in Google Maps ↗

Other Names 1

Other Name (5)Nicole Boggs Np

Secondary Practice Location 1

Location 1327 Beach 19th St # T310Far Rockaway, NY 11691-4423 · Phone (718) 869-7000 · Fax (915) 277-3221

Other Identifiers 1

Medicaid07544998NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Nicole Boggs Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11412 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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 Jaclyn Boggs's NPI number?

The NPI number for Jaclyn Boggs is 1184391088. It was assigned to this individual provider in the NPPES registry on August 27, 2021. The provider is also known as Nicole Boggs Np.

Where is Jaclyn Boggs located?

Jaclyn Boggs practices at 11714 197th St # 2, Saint Albans, NY 11412. The listed phone number is (772) 267-0331.

What is Jaclyn Boggs's specialty?

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

Is Jaclyn Boggs enrolled in Medicare?

Yes. Jaclyn Boggs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaclyn Boggs was last updated on August 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.