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

Shanee Boisseau, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1366107740

Shanee Boisseau, AGACNP-BC is a Nurse Practitioner in Richmond, Virginia. Qualified in 2020, 6 years ago. Practices with Mcv Associated Physicians, a 1,767-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

417 N 11th St
Richmond, VA 23298-5024
Phone: (804) 828-7748
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 0024182906 (VA)
Nurse Practitioner Taxonomy 363L00000X · Licence 0024182906 (VA)

Record details

NPI number1366107740
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedNovember 1, 2021
Last updated in NPPESNovember 15, 2021
Certification dateNovember 15, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice McV Associated Physicians — 1767 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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