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Active NPI 1538189048 Individual Practitioner Female Practitioner

Angela L. Boleware , FNP

Nurse Practitioner • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Angela Boleware, FNP is a registered healthcare professional specializing in Nurse Practitioner in Jackson, MS. Practice services are available at 2500 NORTH STATE STREET under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2500 North State Street
Department Of Medicine/division Of General Internal Med

Jackson, MS 392164500

Telephone 6019845660
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.4 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
169 Specialists

Practicing in Jackson, MS (1098 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
97 84 $200.00 $84.93
99443 Telephone medical discussion with physician, 21-30 minutes
38 35 $119.11 $79.33
99213 Established patient office or other outpatient visit, typically 15 minutes
27 26 $125.00 $56.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
24 23 $270.00 $115.43

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MS R543195

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MS R543195

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
09538704 (MS)
Commercial Insurance / Payer ID Railroad
RR P00321105 (MS)
Commercial Insurance / Payer ID Railroad Medicare Ptan
P01236766 (MS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Dr. Gilliam Hicks , MD

Internal Medicine

NPI 1053345595

Doctor of Medicine (M.D.)

Dr. Denise Harkins , MD

Internal Medicine

NPI 1124094453

Doctor of Medicine (M.D.)

Dr. Richard Jackson , MD

Internal Medicine

NPI 1134153687

Doctor of Medicine (M.D.)

Kelly Land , CFNP

Nurse Practitioner

NPI 1154369700
Dr. Joseph Moak , MD

Internal Medicine

NPI 1184667800

Doctor of Medicine (M.D.)

Dr. James Glisson , MD

Internal Medicine

NPI 1245274281

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2014

Registered at 2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF GENERAL INTERNAL MED, JACKSON, MS 392164500 (Tel: 6019845660)

📍
Updated Business Mailing Address April 08, 2014

Registered at 2500 NORTH STATE STREET, DEPT OF INTERNAL MEDICINE, JACKSON, MS 392164500 (Tel: 6019845660)

👤
Provider Name / Credentials Updated April 08, 2014

Recorded as ANGELA BOLEWARE, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2014

Internal Medicine (License #R543195 in MS)

🟢
Initial NPI Registration & Enumeration July 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538189048
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2006
Last Update: April 08, 2014
Sole Proprietor: No

Mailing Address

2500 North State Street, Dept Of Internal Medicine

Jackson, MS 392164500

Phone: 6019845660

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.