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

Mr. Phillip Boggs, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1710358395

Mr. Phillip Boggs, AGACNP-BC is a Nurse Practitioner in Newark, Delaware. Practices with Christiana Care Health Services Inc, a 1,481-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Delaware.

Licensed in
CA, DE
In the registry since
2015
Specialties on file
4
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Practice location Address checks out

4755 Ogletown Stanton Rd Ste 2E99
Newark, DE 19718-2200
Phone: (302) 733-5982
Fax: (302) 733-6081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10441 Lakewood Blvd Ste Ab, Downey, CA 90241-2744 — (562) 869-1070

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence LP-0010755 (DE)
Nurse Practitioner Taxonomy 363L00000X · Licence LP-0010755 (DE)
Registered Nurse Taxonomy 163W00000X · Licence L1-0073431 (DE)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 95003204 (CA)

Record details

NPI number1710358395
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedOctober 8, 2015
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Group practice Christiana Care Health Services Inc — 1481 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Newark