THERESE L. BOGGIANO (RN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1699023259

Psychiatric/Mental Health Nurse Practitioner

THERESE L. BOGGIANO (RN) is a healthcare provider. based in Holland, Michigan. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials RN. They hold a License No. 4704278126 (MI). The NPI Number for THERESE L. BOGGIANO (RN) is 1699023259

Main info

Female

16 Years Of Experience

Accepts Medicare Assignment

Name

THERESE L. BOGGIANO (RN)

NPI

1699023259

Phone

(616) 494-5698

Address

12265 JAMES ST

Enumeration Date

29 August 2012

Last Update Date

3 August 2018

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6168203780

Graduation Year

2010 (16 years ago)

PAC ID

0749572907

Group Practice PAC ID

4981506508

Professional Enrollment ID

I20160707002432

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience45

Completeness75

Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for THERESE L. BOGGIANO (RN)

12265 JAMES ST
HOLLAND, MI 494248613
Phone: (616) 494-5698
Type: Location
131 W SEAWAY DR
STE 200
NORTON SHORES, MI 494443761
Phone: (616) 494-5698
Type: Mailing

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 49424)

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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: 4981506508View full group profile

Name	Specialty	State
MRS. REBECCA JOY BACK (LMSW)	Clinical Social Worker	MI
CALVIN MARK MEUZELAAR (LISW, LMSW)	Clinical Social Worker	IA
PHILIP S FOX (MD)	P S Y C H I A T R Y	MI
DR. SHANNON DRABEK (PSY.D.)	Clinical Psychologist	MI
KRISTA KAY OLIVER (PH.D.)	-	MI
CHRISTINA ANTHONY (LPC)	Mental Health Counselor	MI
MS. ARLEIGH-ANNE HOLZGEN (LCSW, LMSW)	Clinical Social Worker	NY
MR. ISAIAH JONATHAN GARCIA (LMSW)	Clinical Social Worker	MI
CONSTANCE LOUISE DEVANTIER (PH.D.)	Clinical Psychologist	MI
MR. DOUGLAS WOOD CUSHMAN (L. M. S. W.)	Clinical Social Worker	MI

Reviews

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Frequently asked questions

What is the 10-digit NPI for THERESE L. BOGGIANO (RN)?

THERESE L. BOGGIANO (RN) — NPI 1699023259 — is the standard way to identify this listing.

Does the file indicate THERESE L. BOGGIANO (RN) is practicing under active NPI?

Directory data currently reports THERESE L. BOGGIANO (RN) as active.

What is THERESE L. BOGGIANO (RN) best known for clinically?

Directory data describes THERESE L. BOGGIANO (RN) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.

What address line appears for THERESE L. BOGGIANO (RN)?

THERESE L. BOGGIANO (RN)'s geographic hint is Holland, Michigan in our summary view.

Why does THERESE L. BOGGIANO (RN) have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.