Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michelle Lynn Boniscavage

Individual provider Family Nurse Practitioner · NPI 1427786581

Michelle Lynn Boniscavage is a Nurse Practitioner in Wyomissing, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Dermdox Dermatology Centers PC, a 14-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2022

Practice location Address checks out

2650 Westview Dr #H
Wyomissing, PA 19610-1187
Phone: (610) 750-9426
Fax: (484) 282-7430
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP026034 (PA)

Record details

NPI number1427786581
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2022
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Dermdox Dermatology Centers Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wyomissing