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MICHELLE MCGRAW BOISVERT MD
NPI 1205465929
Internal Medicine in San Diego, CA

Active since April 04, 2020PECOS Enrolled
COMNAVSURFPAC, 2841 RENDOVA RD, SAN DIEGO, CA 92155(619) 881-9169 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2025, Aug 4, 2025, Apr 4, 2020 (3 updates tracked since 2020).

About Michelle Mcgraw Boisvert Md NPPES

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

MICHELLE MCGRAW BOISVERT MD (NPI 1205465929) is an individual internal medicine provider in San Diego, California, licensed in California (A205177) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1205465929
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMICHELLE MCGRAW BOISVERTCredential: MD
Location AddressCOMNAVSURFPAC, 2841 RENDOVA RDSan Diego, CA 92155-5490
Mailing AddressComnavsurfpac, 2841 Rendova RdSan Diego, CA 92155
Phone(619) 881-9169
Sole ProprietorNo
Enumeration DateApril 4, 2020
Last NPPES UpdateDecember 17, 20253 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1205465929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A205177
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
COMNAVSURFPAC, San Diego, CA 92155
Open in Google Maps ↗

Secondary Practice Location 1

Location 134800 Bob Wilson DrSan Diego, CA 92134-1098 · Phone (619) 532-8225

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Mcgraw Boisvert Md 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 92155 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LATISHA NICOLE SMITH
Nurse Practitioner (Psychiatric/Mental Health)
COMNAVSURFPAC, 2841 RENDOVA ROAD
SAN DIEGO, CA 92155
San Diego County (619) 556-8449
KYLE BOSTEDT PT, DPT
Physical Therapist
COMNAVSURFPAC
SAN DIEGO, CA 92155
San Diego County (619) 437-2860
DR. CATHERINE NICOLE CLOETTA D.D.S.
Dentist
COMNAVSURFPAC, 2841 RENDOVA RD
SAN DIEGO, CA 92155
San Diego County (619) 545-8486

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 Michelle Boisvert's NPI number?

The NPI number for Michelle Boisvert is 1205465929. It was assigned to this individual provider in the NPPES registry on April 4, 2020.

Where is Michelle Boisvert located?

Michelle Boisvert practices at Comnavsurfpac 2841 Rendova Rd, San Diego, CA 92155. The listed phone number is (619) 881-9169.

What is Michelle Boisvert's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michelle Boisvert enrolled in Medicare?

Yes. Michelle Boisvert is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Boisvert was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.