NANCY BOERSEN, RN — NPI 1215273735 (Licensed & Credentialed Registered Nurse in JENISON, MI)

CMS-1500 Box 24J / 33a • NPI

1215273735

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163W00000X

Licensed & Credentialed Registered Nurse

Box 32 Service Location & ZIP+4

919 44TH AVE, JENISON, MI, 49428-9193

✓ 9-Digit EDI 837 ZIP+4 (49428-9193)

Practice Phone & Referral Fax

(616) 797-9920

Fax: (616) 797-9921

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1215273735 (NANCY BOERSEN, RN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1215273735` (NPI-1 Individual Practitioner)
Provider / Legal Name	NANCY BOERSEN, RN
Plain-English Specialty	Licensed & Credentialed Registered Nurse NUCC Code: `163W00000X` (Registered Nurse)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	919 44TH AVE, JENISON, MI, 49428-9193
Practice Telephone / Fax	Tel: (616) 797-9920 \| Fax: (616) 797-9921
Administrative Mailing Address	7354 GREENTREE DR, JENISON, MI, 49428-8747
Enumeration & Last Sync	Enumerated: 2013-01-03 \| CMS Record Updated: 2013-01-03

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

919 44TH AVE, JENISON, MI, 49428-9193

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Plain-English Taxonomy & CMS Crosswalk (163W00000X)

What Does Taxonomy Code 163W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163W00000X translates to:
"Licensed & Credentialed Registered Nurse"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (NANCY BOERSEN, RN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163W00000X` — Registered Nurse Plain English: Licensed & Credentialed Registered Nurse	State: MI \| License: `4704144074` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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NANCY BOERSEN, RN (NPI #1215273735)