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MS. BOSE GRACE ANIFOWOSE DNP, FNP, PMHNP
NPI 1932589322
Nurse Practitioner - Family in Casa Grande, AZ

Active since June 01, 2015PECOS Enrolled
1075 W AVALON CANYON DR, CASA GRANDE, AZ 85122(623) 565-2668(520) 635-5510 Get Directions Write a Review

NPPES record last updated: February 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2021, Jul 20, 2020, Mar 28, 2016 (3 updates tracked since 2016).

About Ms. Bose Grace Anifowose Dnp, Fnp, Pmhnp NPPES

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

MS. BOSE GRACE ANIFOWOSE DNP, FNP, PMHNP (NPI 1932589322) is an individual family provider in Casa Grande, Arizona, licensed in Arizona (AP7746) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Casa Grande.

NPPES Registry Identity

NPI1932589322
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. BOSE GRACE ANIFOWOSECredential: DNP, FNP, PMHNP
Location Address1075 W AVALON CANYON DRCasa Grande, AZ 85122-6706
Mailing Address2381 E Alonso DrCasa Grande, AZ 85194-7460 · (623) 565-2668
Phone(623) 565-2668
Fax(520) 635-5510
Sole ProprietorNo
Enumeration DateJune 1, 2015
Last NPPES UpdateFebruary 3, 20243 updates tracked since enumeration
NPPES CertifiedMay 8, 2021
✔ NPI 1932589322 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 AZ · AP7746
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License AP7746 (AZ)
1075 W AVALON CANYON DR, Casa Grande, AZ 85122
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Secondary Practice Location 1

Location 12381 E Alonso DrCasa Grande, AZ 85194-7460 · Phone (623) 565-2668

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Bose Grace Anifowose Dnp, Fnp, Pmhnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85122 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TENACITY INTEGRATED BEHAVIORAL HEALTHCARE, PLLC
Psychiatric Residential Treatment Facility
1075 W AVALON CANYON DR
CASA GRANDE, AZ 85122
Pinal County (623) 565-2668

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 Bose Anifowose's NPI number?

The NPI number for Bose Anifowose is 1932589322. It was assigned to this individual provider in the NPPES registry on June 1, 2015.

Where is Bose Anifowose located?

Bose Anifowose practices at 1075 W Avalon Canyon Dr, Casa Grande, AZ 85122. The listed phone number is (623) 565-2668.

What is Bose Anifowose's specialty?

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

Is Bose Anifowose enrolled in Medicare?

Yes. Bose Anifowose is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bose Anifowose was last updated on February 3, 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.