SIMONNE BOSWELL
NPI 1962232199
Nurse Practitioner - Family in Elkridge, MD

Active since August 02, 2024PECOS EnrolledAccepts Medicare Assignment
6480 OLD WATERLOO RD, ELKRIDGE, MD 21075(866) 389-2727 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 23, 2024, Aug 4, 2024 (2 updates tracked since 2024).

About Simonne Boswell NPPES

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

SIMONNE BOSWELL (NPI 1962232199) is an individual family provider in Elkridge, Maryland, licensed in Maryland (R236663) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1962232199
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSIMONNE BOSWELL
Location Address6480 OLD WATERLOO RDElkridge, MD 21075-6508
Mailing Address6480 Old Waterloo RdElkridge, MD 21075-6508
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 2, 2024
Last NPPES UpdateAugust 23, 20242 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1962232199 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 MD · R236663
6480 OLD WATERLOO RD, Elkridge, MD 21075

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

Simonne Boswell 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.

PECOS PAC ID5294266128
PECOS Enrollment IDI20241003000358, I20241003000785
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Simonne Boswell reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
7955 TUCKERMAN LN
Potomac, MD 20854
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 65 clinicians in this Medicare group
Family
7955 TUCKERMAN LN
Rockville, MD 20854
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 168 clinicians in this Medicare group
Family Medicine
4101 CHARLOTTE AVE STE F185
Nashville, TN 37209
  • Reassigned Medicare billing, Maryland enrollment
  • 20 clinicians in this Medicare group
Family Medicine
4101 CHARLOTTE AVE STE F185
Nashville, TN 37209
  • Reassigned Medicare billing, Maryland enrollment
  • 14 clinicians in this Medicare group
Family Medicine
4101 CHARLOTTE AVE STE F185
Nashville, TN 37209
  • Reassigned Medicare billing, Maryland enrollment
  • 10 clinicians in this Medicare group
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Maryland enrollment
  • 17 clinicians in this Medicare group
Podiatrist
2057 VALLEYDALE RD STE 109
Hoover, AL 35244
  • Reassigned Medicare billing, Maryland enrollment
  • 33 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 3

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.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services25 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
24 services24 patients
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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21075 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 20

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

Nurse Practitioner (Family)
6480 OLD WATERLOO RD
ELKRIDGE, MD 21075
Nurse Practitioner (Family)
6480 OLD WATERLOO RD
ELKRIDGE, MD 21075
Pharmacist
6480 OLD WATERLOO RD
ELKRIDGE, MD 21075
Pharmacist
6480 OLD WATERLOO RD
ELKRIDGE, MD 21075
Nurse Practitioner (Family)
6480 OLD WATERLOO RD
ELKRIDGE, MD 21075
Nurse Practitioner (Family)
6480 OLD WATERLOO RD
ELKRIDGE, MD 21075
Physician Assistant
6480 OLD WATERLOO RD
ELKRIDGE, MD 21075
Nurse Practitioner (Family)
6480 OLD WATERLOO RD
ELKRIDGE, MD 21075

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 Simonne Boswell's NPI number?

The NPI number for Simonne Boswell is 1962232199. It was assigned to this individual provider in the NPPES registry on August 2, 2024.

Where is Simonne Boswell located?

Simonne Boswell practices at 6480 Old Waterloo Rd, Elkridge, MD 21075. The listed phone number is (866) 389-2727.

What is Simonne Boswell's specialty?

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

Is Simonne Boswell enrolled in Medicare?

Yes. Simonne Boswell 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 Simonne Boswell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simonne Boswell reassigns Medicare benefits to 7 organizations: Minuteclinic Primary Care Maryland LLC (Potomac, MD), Minuteclinic LLC (Rockville, MD), Adcs Care Management 1 Inc (Nashville, TN), Adcs Care Management 2 Inc (Nashville, TN), Apex Wellness Inc (Nashville, TN) and 2 more organizations, listed in the Medicare section above. 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 Simonne Boswell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Simonne Boswell was last updated on August 23, 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.