Sonda Sue Boulware, ANP in Las Cruces, NM - Medicare Nurse Practitioner

Sonda Sue Boulware, ANP is a medicare enrolled "Nurse Practitioner" in Las Cruces, New Mexico. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Three Crosses Regional Hospital Llc, Otero County Hospital Association and her current practice location is 2525 S Telshor Blvd, Building 14, Suite 102, Las Cruces, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 522-7247.

Sonda Sue Boulware is licensed to practice in New Mexico (license number CNP-01702) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841596608.

Contact Information

	Sonda Sue Boulware, ANP
	2525 S Telshor Blvd, Building 14, Suite 102, Las Cruces, NM 88011-5071
	(575) 522-7247
	(575) 522-2029

Map and Direction

Provider's Profile

Full Name	Sonda Sue Boulware
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	2525 S Telshor Blvd, Las Cruces, New Mexico
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sonda Sue Boulware graduated from nursing school in 2010

NPI Data:

NPI Number: 1841596608
Provider Enumeration Date: 01/26/2011
Last Update Date: 07/28/2016

Medicare PECOS Information:

PECOS PAC ID: 3971771049
Enrollment ID: I20110714000757

Medical Identifiers

Medical identifiers for Sonda Sue Boulware such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841596608	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	CNP-01702 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gerald Champion Regional Medical Center	Alamogordo, NM	Hospital
Mountain View Regional Medical Center	Las cruces, NM	Hospital
Sierra Vista Hospital	T or c, NM	Hospital
Memorial Medical Center	Las cruces, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Three Crosses Regional Hospital Llc	1254758667	46
Otero County Hospital Association	3173516606	142

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sonda Sue Boulware allows following entities to bill medicare on her behalf.

Entity Name	Southwest Heart Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265502298 PECOS PAC ID: 2163458043 Enrollment ID: O20050712000795

Entity Name	Otero County Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861450579 PECOS PAC ID: 3173516606 Enrollment ID: O20070212000377

Entity Name	Sierra Vista Hospital 69
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1760446009 PECOS PAC ID: 0143122416 Enrollment ID: O20090218000155

Entity Name	Sierra Vista Hospital 69
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1760446009 PECOS PAC ID: 0143122416 Enrollment ID: O20090227000341

Entity Name	Three Crosses Regional Hospital Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487248050 PECOS PAC ID: 1254758667 Enrollment ID: O20210405001637

Entity Name	Three Crosses Cardiology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174198782 PECOS PAC ID: 4789053877 Enrollment ID: O20221213000119

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sonda Sue Boulware is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sonda Sue Boulware, ANP 2525 S Telshor Blvd, Ste 102, Las Cruces, NM 88011-9148 Ph: (575) 522-7247	Sonda Sue Boulware, ANP 2525 S Telshor Blvd, Building 14, Suite 102, Las Cruces, NM 88011-5071 Ph: (575) 522-7247

Reviews and Comments

Nurse Practitioner Nurses in Las Cruces, NM

Shelby Danae Whitlock-virden, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5020 Meadow Cir, Las Cruces, NM 88007 Phone: 575-649-7113
Dr. Rhaemi E Gaufin, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3961 E Lohman Ave Ste 33, Las Cruces, NM 88011 Phone: 575-556-0200
Mrs. Heather A Lugo, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4391 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-522-2633 Fax: 575-522-2311
Mrs. Sandra Avigail Angulo, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3751 Del Rey Blvd, Las Cruces, NM 88012 Phone: 575-382-3500
Sylina Peterson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3964 Pacific Loop, Las Cruces, NM 88012 Phone: 575-635-1403
Leandra Gabrielle Ogas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1455 S Valley Dr Ste B, Las Cruces, NM 88005 Phone: 575-526-6992
Lauren Marie Mattiace, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 999 W Amador Ave, Las Cruces, NM 88005 Phone: 575-527-5482

Sonda Sue Boulware, ANP - Medicare Nurse Practitioner in Las Cruces, NM