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SHAE BOGUSLAWSKI
NPI 1821571613
Student in an Organized Health Care Education/Training Program in Johns Creek, GA

Active since September 08, 2018PECOS Enrolled
10692 MEDLOCK BRIDGE RD STE 100A, JOHNS CREEK, GA 30097(404) 446-2496 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shae Boguslawski NPPES

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

SHAE BOGUSLAWSKI (NPI 1821571613) is an individual student in an organized health care education/training program in Johns Creek, Georgia and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821571613
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHAE BOGUSLAWSKI
Location Address10692 MEDLOCK BRIDGE RD STE 100AJohns Creek, GA 30097-8497
Mailing Address10692 Medlock Bridge Rd Ste 100aJohns Creek, GA 30097-8497 · (404) 446-2496
Phone(404) 446-2496
Sole ProprietorNo
Enumeration DateSeptember 8, 2018
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1821571613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 113174 (GA)
10692 MEDLOCK BRIDGE RD STE 100A, Johns Creek, GA 30097
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shae Boguslawski 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.

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.

KERA NJENGA
Nurse Practitioner (Women's Health)
10692 MEDLOCK BRIDGE RD STE 100A
JOHNS CREEK, GA 30097
Gwinnett County (404) 446-2496
JULIE MORGAN
Nurse Practitioner (Women's Health)
10692 MEDLOCK BRIDGE RD STE 100A
JOHNS CREEK, GA 30097
Gwinnett County (404) 446-2496
NICOLE CRISTINA HABIBE BURGOS MD
Obstetrics & Gynecology
10692 MEDLOCK BRIDGE RD STE 100A
JOHNS CREEK, GA 30097
Gwinnett County (787) 903-4960
KATHERINE MARIE VAUGHN CNM
Advanced Practice Midwife
10692 MEDLOCK BRIDGE RD STE 100A
JOHNS CREEK, GA 30097
Gwinnett County (404) 446-2496
XIAOYIN TINA LU MD
Obstetrics & Gynecology
10692 MEDLOCK BRIDGE RD STE 100A
JOHNS CREEK, GA 30097
Gwinnett County (404) 446-2492
NADA MEGALLY
Obstetrics & Gynecology
10692 MEDLOCK BRIDGE RD STE 100A
JOHNS CREEK, GA 30097
Gwinnett County (404) 446-2496
AMBER M BECKER ARNP-CNP
Nurse Practitioner (Women's Health)
10692 MEDLOCK BRIDGE RD STE 100A
JOHNS CREEK, GA 30097
Gwinnett County (404) 446-2496
SKYLER J JACOBS CNM
Advanced Practice Midwife
10692 MEDLOCK BRIDGE RD STE 100A
JOHNS CREEK, GA 30097
Gwinnett County (404) 446-2496

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 Shae Boguslawski's NPI number?

The NPI number for Shae Boguslawski is 1821571613. It was assigned to this individual provider in the NPPES registry on September 8, 2018.

Where is Shae Boguslawski located?

Shae Boguslawski practices at 10692 Medlock Bridge Rd Ste 100A, Johns Creek, GA 30097. The listed phone number is (404) 446-2496.

What is Shae Boguslawski's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shae Boguslawski enrolled in Medicare?

Yes. Shae Boguslawski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shae Boguslawski was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.