MRS. NIKOLE LYN BOSHONEK MSN, FNP-BC, DIPACLM
NPI 1790084176
Nurse Practitioner - Family in Leesburg, VA

Q: What is Nikole Boshonek's NPI number?

The NPI number for Nikole Boshonek is 1790084176. It was assigned to this individual provider in the NPPES registry on March 24, 2011.

Q: What is Nikole Boshonek's specialty?

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

Q: Is Nikole Boshonek enrolled in Medicare?

No. Nikole Boshonek has opted out of Medicare through May 9, 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.

Q: When was this NPI record last updated?

The NPPES record for Nikole Boshonek was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 24, 2011Opted out of Medicare · through May 9, 2027

104 CHURCH ST SE STE 104, LEESBURG, VA 20175(571) 440-2755(800) 420-3682 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Nikole Lyn Boshonek Msn, Fnp-bc, Dipaclm NPPES

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

MRS. NIKOLE LYN BOSHONEK MSN, FNP-BC, DIPACLM (NPI 1790084176) is an individual family provider in Leesburg, Virginia, licensed in Virginia (0024169311) and active in the NPI registry since March 2011. She has opted out of Medicare through May 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790084176

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. NIKOLE LYN BOSHONEKCredential: MSN, FNP-BC, DIPACLM

Location Address104 CHURCH ST SE STE 104Leesburg, VA 20175-3055

Mailing Address43604 Emerald Dunes PlLeesburg, VA 20176-3967 · (757) 619-4846

Phone(571) 440-2755

Fax(800) 420-3682

Sole ProprietorYes

Enumeration DateMarch 24, 2011

Last NPPES UpdateFebruary 17, 2026

NPPES CertifiedFebruary 17, 2026

✔ NPI 1790084176 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

License✔ Licensed in VA · 0024169311

104 CHURCH ST SE STE 104, Leesburg, VA 20175

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Nikole Lyn Boshonek Msn, Fnp-bc, Dipaclm 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 May 9, 2025 through May 9, 2027.

Opt-Out Effective DateMay 9, 2025

Opt-Out In Effect ThroughMay 9, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20175 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

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 Nikole Boshonek's NPI number?

The NPI number for Nikole Boshonek is 1790084176. It was assigned to this individual provider in the NPPES registry on March 24, 2011.

Where is Nikole Boshonek located?

Nikole Boshonek practices at 104 Church St SE Ste 104, Leesburg, VA 20175. The listed phone number is (571) 440-2755.

What is Nikole Boshonek's specialty?

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

Is Nikole Boshonek enrolled in Medicare?

No. Nikole Boshonek has opted out of Medicare through May 9, 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 Nikole Boshonek was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.