DR. DEBORAH MILLICENT BOATENG – Nurse Practitioner, NPI 1437605045
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
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Provider Addresses for DR. DEBORAH MILLICENT BOATENG
Outreach Community Health Centers, 210, West Capitol Drive, Williamsburg Heights, Milwaukee, Milwaukee County, Wisconsin, 53212, United States
MILWAUKEE, WI 532121123
Phone: (414) 906-5306
Fax: (414) 906-4533
Type: Mailing
148 EL DORADO BLVD # 130
WEBSTER, TX 775982328
Phone: (888) 663-6331
Fax: (415) 252-7176
Type: Location
148 EL DORADO BLVD
WEBSTER, TX 775982343
Phone: (888) 663-6331
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-01-25
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 |
|---|---|---|---|---|
| I20220125000880 | I | Nurse Practitioner | 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 53212)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Physician Assistant | TX | |
| Family Practice | PA | |
| Family Practice | CA | |
| Family Practice | TX | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | NJ | |
| Family Practice | TX | |
| Family Practice | TX |
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