MARY ALICE BOULWARE NP
NPI 1376507699
Nurse Practitioner in Charlotte, NC
About Mary Alice Boulware Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ALICE BOULWARE NP (NPI 1376507699) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5003612) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Mary Alice Boulware Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28203 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.
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
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 Mary Boulware's NPI number?
The NPI number for Mary Boulware is 1376507699. It was assigned to this individual provider in the NPPES registry on April 13, 2006.
Where is Mary Boulware located?
Mary Boulware practices at 1001 Blythe Blvd Medical Center Plaza Suite 200, Charlotte, NC 28203. The listed phone number is (704) 381-8840.
What is Mary Boulware's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mary Boulware enrolled in Medicare?
Yes. Mary Boulware is registered in the Medicare PECOS enrollment system.
What insurance does Mary Boulware accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Mary 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.
When was this NPI record last updated?
The NPPES record for Mary Boulware was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mary Alice Boulware, NP · NPI 1376507699
Nurse Practitioner physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since April 13, 2006.
## Identity
- **NPI:** 1376507699 (Entity type: Individual)
- **Enumerated:** April 13, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 5003612 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200, Charlotte, NC 28203-5866
- **Phone:** (704) 381-8840
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376507699) · Data from the CMS NPPES public registry.