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CLYDE RUSSELL BOSWELL FNP-BC
NPI 1598229718
Nurse Practitioner - Family in Jacksonville, FL

Active since January 23, 2019Opted out of Medicare · through Jul 1, 2027
8705 PERIMETER PARK BLVD STE 2, JACKSONVILLE, FL 32216(904) 248-3910 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2023, Aug 13, 2021, Jan 23, 2019 (3 updates tracked since 2019).

About Clyde Russell Boswell Fnp-bc NPPES

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

CLYDE RUSSELL BOSWELL FNP-BC (NPI 1598229718) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11012607) and active in the NPI registry since January 2019. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in Burns.

NPPES Registry Identity

NPI1598229718
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCLYDE RUSSELL BOSWELLCredential: FNP-BC
Location Address8705 PERIMETER PARK BLVD STE 2Jacksonville, FL 32216-6353
Mailing Address1102 14th St NJacksonville Beach, FL 32250-3662 · (615) 830-6176
Phone(904) 248-3910
Sole ProprietorNo
Enumeration DateJanuary 23, 2019
Last NPPES UpdateMarch 16, 20233 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
✔ NPI 1598229718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in FL · APRN11012607✔ Licensed in TN · 25373
8705 PERIMETER PARK BLVD STE 2, Jacksonville, FL 32216
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Other Names 1

Professional Name (2)Clyde Russell Boswell Clyde Boswell

Secondary Practice Location 1

Location 1999 Girl Scout RdBurns, TN 37029-9065 · Phone (615) 913-8493

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Clyde Russell Boswell Fnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
106 services101 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
100 services100 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
43 services43 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
23 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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. JOHN DARRELL ARCE DNP, FNP-C
Family Medicine
8705 PERIMETER PARK BLVD STE 2
JACKSONVILLE, FL 32216
Duval County (904) 248-3910
KRISTINA AGRANAT ARNP-BC
Nurse Practitioner (Family)
8705 PERIMETER PARK BLVD STE 2
JACKSONVILLE, FL 32216
Duval County (904) 248-3910
DAVID HILL DO
Family Medicine
8705 PERIMETER PARK BLVD STE 2
JACKSONVILLE, FL 32216
Duval County (904) 248-3910

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 Clyde Boswell's NPI number?

The NPI number for Clyde Boswell is 1598229718. It was assigned to this individual provider in the NPPES registry on January 23, 2019. The provider is also known as Clyde Russell Boswell Clyde Boswell.

Where is Clyde Boswell located?

Clyde Boswell practices at 8705 Perimeter Park Blvd Ste 2, Jacksonville, FL 32216. The listed phone number is (904) 248-3910.

What is Clyde Boswell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Clyde Boswell enrolled in Medicare?

No. Clyde Boswell has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Clyde Boswell was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.