NICOLE BOGGS (FNP-BC) – Family Nurse Practitioner, NPI 1124615851

NICOLE BOGGS (FNP-BC) is a healthcare provider. based in Pueblo west, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 0996143 (CO). The NPI Number for NICOLE BOGGS (FNP-BC) is 1124615851

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE BOGGS (FNP-BC)
NPI
1124615851
Phone
(405) 219-4656
Address
496 S HAHNS PEAK AVE
Enumeration Date
29 December 2020
Last Update Date
29 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7195688611
Graduation Year
2020 (6 years ago)
PAC ID
4880008903
Group Practice PAC ID
7517337108
Professional Enrollment ID
I20210202000909
Address ID
CO810043767PU900XXAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,198 NURSE PRACTITIONER in CO

Provider Addresses for NICOLE BOGGS (FNP-BC)

  • 496 S HAHNS PEAK AVE

    PUEBLO WEST, CO 810076031

    Phone: (405) 219-4656

    Type: Mailing

  • 900 INDIANA AVE

    PUEBLO, CO 810043766

    Phone: (719) 924-9021

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $484.

Total Amount is formed as General ($484) + Research ($0) + Ownership ($0) = $484.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($148).

Total Amount

$484

General + Research + Ownership

Payments

17

Total payment records

General Amount

$484

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-02-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210202000909INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6436$0
99214Established patient office or other outpatient visit, 30-39 minutes3811$0
View full utilization report →

Insurance plans in this area (ZIP 81007)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517337108View full group profile
NameSpecialtyState
Nurse PractitionerCO

Reviews

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Frequently asked questions

What is the standard ID for NICOLE BOGGS (FNP-BC) in the U.S.?
In the U.S., NICOLE BOGGS (FNP-BC) is identified by NPI 1124615851.
Quick check: is NICOLE BOGGS (FNP-BC) active?
Public NPPES data shows NICOLE BOGGS (FNP-BC) with an active NPI status right now.
Which specialty label fits NICOLE BOGGS (FNP-BC)?
NPPES ties NICOLE BOGGS (FNP-BC) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to NICOLE BOGGS (FNP-BC)?
The directory associates NICOLE BOGGS (FNP-BC) with Pueblo West, Colorado. Check all listed addresses for suites or satellite offices.
Why is information missing for NICOLE BOGGS (FNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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