DR. JULIE NICOLE BOISEN (MD) – Dermatology Physician, NPI 1871950667
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,287 DERMATOLOGY in TX
Provider Addresses for DR. JULIE NICOLE BOISEN (MD)
7700 FISH POND RD
WACO, TX 767101031
Phone: (254) 724-2111
Type: Location
BLDG 1320
WATERFRONT MEDICAL
MAYPORT, FL 32228
Phone: (904) 270-5947
Fax: (904) 270-7038
Type: Location
PO BOX 844658
DALLAS, TX 752844658
Phone:
Type: Mailing
12363, Sweetfern Lane, Ashley Woods, Jacksonville, Duval County, Florida, 32225, United States
JACKSONVILLE, FL 322256838
Phone: (830) 459-5211
Type: Mailing
2401 S 31ST ST BLDG 27
TEMPLE, TX 765080001
Phone: (254) 724-6300
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $312.
Total Amount is formed as General ($312) + Research ($0) + Ownership ($0) = $312.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Amgen Inc. ($52).
Total Amount
$312
General + Research + Ownership
Payments
14
Total payment records
General Amount
$312
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-05-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240516002259 | I | Dermatology | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76710)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| U R O L O G Y | TX | |
| General Surgery | OK | |
| - | TX | |
| Anesthesiology Assistant | TX | |
| - | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX | |
| Vascular Surgery | TX |
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