HEATHER MACHELLE BOSLEY – Clinical Social Worker, NPI 1114798402

HEATHER MACHELLE BOSLEY is a healthcare provider. based in Oakland, Maryland. specializing in CLINICAL SOCIAL WORKER. The NPI Number for HEATHER MACHELLE BOSLEY is 1114798402

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER MACHELLE BOSLEY
NPI
1114798402
Phone
(301) 533-6584
Address
4627 GEORGE WASHINGTON HWY
Enumeration Date
15 January 2024
Last Update Date
15 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3015332190
Graduation Year
2020 (6 years ago)
PAC ID
9537509898
Group Practice PAC ID
5698082436
Professional Enrollment ID
I20240503000088
Address ID
MD215502046OA69XXXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

2,276 CLINICAL SOCIAL WORKER in MD

Provider Addresses for HEATHER MACHELLE BOSLEY

  • 4627 GEORGE WASHINGTON HWY

    OAKLAND, MD 215505806

    Phone: (301) 533-6584

    Type: Mailing

  • 69 WOLF ACRES DR

    OAKLAND, MD 215502046

    Phone: (301) 533-2190

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-05-03

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
I20240503000088IClinical Social WorkerMDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21550)

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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: 5698082436View full group profile
NameSpecialtyState
Nurse PractitionerMD
Clinical Social WorkerMD
Nurse PractitionerMD
Family PracticeMD
Nurse PractitionerMD
Physician AssistantMD
Family PracticePA
Nurse PractitionerWV
-WV
Nurse PractitionerMD

Reviews

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Frequently asked questions

What NPI should I save for HEATHER MACHELLE BOSLEY?
Save NPI 1114798402 if you need a stable reference for HEATHER MACHELLE BOSLEY.
Is HEATHER MACHELLE BOSLEY's NPI currently valid?
The extract we use shows HEATHER MACHELLE BOSLEY as active.
Can you summarize HEATHER MACHELLE BOSLEY's specialty in plain language?
Clinically, the directory lists HEATHER MACHELLE BOSLEY with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place HEATHER MACHELLE BOSLEY?
The snapshot lists Oakland, Maryland for HEATHER MACHELLE BOSLEY; download NPPES for the complete set.
What if Oakland, Maryland seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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