ANGEL BROWN BOULWARE FNP-C
NPI 1467704429
Nurse Practitioner - Family in Lawrenceville, GA

Active since October 15, 2012PECOS EnrolledAccepts Medicare Assignment
65.41/100
CMS Quality Rating
2200 MEDICAL CENTER BLVD STE 400, LAWRENCEVILLE, GA 30046(678) 582-8586 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2025, Nov 24, 2020, Jan 25, 2019 (3 updates tracked since 2019).

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

NPI1467704429
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGEL BROWN BOULWARECredential: FNP-C
Location Address2200 MEDICAL CENTER BLVD STE 400Lawrenceville, GA 30046-7769
Mailing Address3610 Wynterset DrSnellville, GA 30039-8631 · (404) 388-3421
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 15, 2012
Last NPPES UpdateOctober 10, 20253 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
NPI 1467704429 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 GA · RN172317
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN172317 (GA)
2200 MEDICAL CENTER BLVD STE 400, Lawrenceville, GA 30046

Secondary Practice Location 1

Location 14288 Memorial Dr Ste BDecatur, GA 30032-1229 · Phone (770) 456-5701 · Fax (770) 456-5701

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.

PECOS PAC ID1951523935
PECOS Enrollment IDI20141106000863
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.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
81 services80 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
38 services38 patients

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, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician 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.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

65.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.24
Improvement Activities40
Cost59.44

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.

Nurse Practitioner (Gerontology)
2200 MEDICAL CENTER BLVD STE 400
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Acute Care)
2200 MEDICAL CENTER BLVD STE 400
LAWRENCEVILLE, GA 30046
Internal Medicine (Cardiovascular Disease)
2200 MEDICAL CENTER BLVD STE 400
LAWRENCEVILLE, GA 30046
Internal Medicine (Cardiovascular Disease)
2200 MEDICAL CENTER BLVD STE 400
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.