MARY ALICE BOULWARE NP
NPI 1376507699
Nurse Practitioner in Charlotte, NC

Active since April 13, 2006PECOS Enrolled
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200, CHARLOTTE, NC 28203(704) 381-8840 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 60 more (63 updates tracked since 2016).

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 and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1376507699
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY ALICE BOULWARECredential: NP
Location Address1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200Charlotte, NC 28203-5866
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Enumeration DateApril 13, 2006
Last NPPES UpdateSeptember 25, 202563 updates tracked since enumeration
NPI 1376507699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5003612
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1001 BLYTHE BLVD, Charlotte, NC 28203

Secondary Practice Locations 4

Location 1201 E Grover StShelby, NC 28150-3917 · Phone (980) 487-3000
Location 21100 Blythe BlvdCharlotte, NC 28203-5814 · Phone (704) 355-4300
Location 31000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-2000
Location 42301 US Highway 74 WWadesboro, NC 28170-7554 · Phone (704) 994-4500

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).

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 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.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

Pediatrics (Pediatric Critical Care Medicine)
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Physician Assistant
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Pediatrics
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Physician Assistant (Surgical)
1001 BLYTHE BLVD
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 with the weekly NPPES data releases published by CMS.