Michael Boas, pmhnp
Nurse Practitioner, Psych/Mental Health in Sunrise, FL. Individual provider (NPI-1).
NPI number1487293296
StatusActive
Last updated in NPPESFeb 5, 2025
Details
- NPI
- 1487293296
- Entity type
- Individual (NPI-1)
- Name
- Michael Boas
- Credential
- pmhnp
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 26, 2019
- Certification date
- Feb 5, 2025
- Last updated
- Feb 5, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 | 11005769 | FL | Yes |
Practice location
14201 W Sunrise Blvd Ste 208Sunrise, FL 33323-3207
Phone 954-754-5407 · Fax 954-851-9688
Mailing address
14201 W Sunrise Blvd Ste 208Sunrise, FL 33323-3207
Phone 954-754-5407 · Fax 954-851-9688
Is something wrong?
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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