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

Sandra Boateng-Wilson

Individual provider Registered Nurse · NPI 1255585295

Sandra Boateng-Wilson is a Nurse Practitioner in Bronx, New York. Qualified in 2012, 14 years ago. Practices with Medical Director Services PC, a 81-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2008
Specialties on file
3
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Practice location Address checks out

2015 Grand Concourse
Bronx, NY 10453
Phone: (718) 299-7294
Fax: (718) 294-6797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F404138 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 592824 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 338663 (NY)

Record details

NPI number1255585295
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 4, 2008
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024
Mailing address3198 Grand Concourse, Bronx, NY 10458-1000

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Medical Director Services Pc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bronx