Marquita Wallace Boggess, FNP
Nurse Practitioner, Psych/Mental Health in Charlotte, NC. Individual provider (NPI-1).
NPI number1326467945
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1326467945
- Entity type
- Individual (NPI-1)
- Name
- Marquita Wallace Boggess
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2014
- Certification date
- Aug 11, 2022
- Last updated
- Jul 15, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 5006850 | NC | Yes |
| 363L00000X | Nurse Practitioner | 5006850 | NC | |
| 363LF0000X | Nurse Practitioner, Family | 5006850 | NC |
Practice location
501 Billingsley RdCottage B
Charlotte, NC 28211-1009
Phone 704-444-5881
Mailing address
Po Box 19305Charlotte, NC 28219-9305
Other practice locations
16740 Davidson Concord Rd
Davidson, NC 28036-8746
Davidson, NC 28036-8746
Phone 704-444-2400
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 173 Psychiatric/Mental Health Nurse Practitioner providers in Charlotte · All 32,379 providers in Charlotte
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