ANGEL BROWN BOULWARE FNP-C
NPI 1467704429
Nurse Practitioner - Family in Lawrenceville, GA
About Angel Brown Boulware Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGEL BROWN BOULWARE FNP-C (NPI 1467704429) is an individual family provider in Lawrenceville, Georgia, licensed in Georgia (RN172317) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and maintains a secondary practice location in Decatur.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Angel Brown Boulware Fnp-c 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.
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Gwinnett
Acute Care Hospitals · Lawrenceville, GAPiedmont Eastside Medical Center
Acute Care Hospitals · Snellville, GANorthside Hospital Duluth
Acute Care Hospitals · Duluth, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
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 Angel Boulware's NPI number?
The NPI number for Angel Boulware is 1467704429. It was assigned to this individual provider in the NPPES registry on October 15, 2012.
Where is Angel Boulware located?
Angel Boulware practices at 2200 Medical Center Blvd Ste 400, Lawrenceville, GA 30046. The listed phone number is (678) 582-8586.
What is Angel Boulware's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Angel Boulware enrolled in Medicare?
Yes. Angel Boulware 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.
Is Angel Boulware affiliated with any hospitals?
According to CMS data, Angel Boulware is affiliated with Northside Hospital Gwinnett, Piedmont Eastside Medical Center and Northside Hospital Duluth.
When was this NPI record last updated?
The NPPES record for Angel Boulware was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.