MRS. LINDA GEORGETTE BOULWARE (APRN) – Family Nurse Practitioner, NPI 1063000669
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MRS. LINDA GEORGETTE BOULWARE (APRN)
1591 ABBOTT ST
CARLYLE, IL 622311107
Phone: (618) 741-8431
Type: Mailing
2045 W GRAND AVE STE B
CHICAGO, IL 606121577
Phone: (888) 660-4425
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $561.
Total Amount is formed as General ($561) + Research ($0) + Ownership ($0) = $561.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Organogenesis Inc. ($277).
Total Amount
$561
General + Research + Ownership
Payments
29
Total payment records
General Amount
$561
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $277 |
| Smith+Nephew, Inc. | $141 |
| Next Science LLC | $123 |
| Bioventus LLC | $20 |
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: 2021-11-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210224002422 | I | Nurse Practitioner | IL | TBD |
| I20211103003365 | I | Nurse Practitioner | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 1,241 | 275 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 808 | 133 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 553 | 287 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 318 | 73 | $0 |
| 99304 | Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 192 | 188 | $0 |
Insurance plans in this area (ZIP 62231)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | IL | |
| P A T H O L O G Y | IL | |
| Sleep Medicine, Pediatric Medicine | MO | |
| P O D I A T R Y | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| General Surgery | MO | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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