NINA SHEPPARD BOAL MD
NPI 1902302581
Ophthalmology in Lansdale, PA
About Nina Sheppard Boal Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NINA SHEPPARD BOAL MD (NPI 1902302581) is an individual ophthalmology provider in Lansdale, Pennsylvania, licensed in Pennsylvania (MD482955) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nina Sheppard Boal Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Nina Boal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lansdale, PA 19446
- Reassigned Medicare billing, Pennsylvania enrollment
- 8 clinicians in this Medicare group
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 230 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Thomas Jefferson University Hospital
Acute Care Hospitals · Philadelphia, PAWills Eye Hospital
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19446 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 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LANSDALE, PA 19446
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 Nina Boal's NPI number?
The NPI number for Nina Boal is 1902302581. It was assigned to this individual provider in the NPPES registry on April 3, 2018.
Where is Nina Boal located?
Nina Boal practices at 1000 N Broad St, Lansdale, PA 19446. The listed phone number is (215) 368-1646.
What is Nina Boal's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Nina Boal enrolled in Medicare?
Yes. Nina Boal 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.
Which organizations bill Medicare for Nina Boal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nina Boal reassigns Medicare benefits to 3 organizations: Ophthalmic Associates PC (Lansdale, PA), Wills Eye Ophthalmology Clinic, Inc (Philadelphia, PA) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nina Boal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nina Boal accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 10 other insurers list Nina Boal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Nina Boal affiliated with any hospitals?
According to CMS data, Nina Boal is affiliated with Thomas Jefferson University Hospital and Wills Eye Hospital.
When was this NPI record last updated?
The NPPES record for Nina Boal was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Nina Sheppard Boal, MD · NPI 1902302581
Ophthalmology physician in Lansdale, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 3, 2018.
## Identity
- **NPI:** 1902302581 (Entity type: Individual)
- **Enumerated:** April 3, 2018
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** MD482955 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 N BROAD ST, Lansdale, PA 19446-1138
- **Phone:** (215) 368-1646 · **Fax:** (215) 368-8516
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Ophthalmic Associates PC (NPI 1710946603, Lansdale, PA); Wills Eye Ophthalmology Clinic, Inc (NPI 1184624009, Philadelphia, PA); The Medical College Of Wisconsin, Inc. (NPI 1699720086, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 8, 2024
- **Other identifiers:** Medicaid 1902302581 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1902302581) · Data from the CMS NPPES public registry.