Angel Brown Boulware, FNP-C
NPI 1467704429ActiveIndividual· Nurse Practitioner, Family· Lawrenceville, GA
Nurse Practitioner, Family (FNP-C) with Northside Cardiovascular Professional Services, LLC and 1 other group, practicing in Lawrenceville, Georgia. Mostly services rather than prescriptions: Medicare paid $13,377 for 122 patients in 2024, with only 41 Part D claims. Viiv Healthcare Company was the largest of 2 companies reporting payments in 2025, $108.86 in all, mostly food and beverage. Lists Northside Hospital Duluth and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1467704429 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | Oct 15, 2012 |
| Last updated in NPPES | Oct 10, 2025 |
| Certified by provider | Oct 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | RN172317 | GA |
| Nurse Practitioner | 363L00000X | RN172317 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 122 |
|---|---|
| Services billed | 124 across 7 procedure codes |
| Paid by Medicare | $13,377 |
Part D prescriptions in 2024
| Prescriptions (claims) | 41 · 43 30-day fills |
|---|---|
| Total drug cost | $3,055 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Northside Cardiovascular Professional Services, LLCAtlanta, GA · 173 clinicians
- Northside Cv Professional Services LLCLawrenceville, GA · 49 clinicians
Hospital affiliations
- Northside Hospital DuluthDuluth, GA
- Northside Hospital GwinnettLawrenceville, GA
- Piedmont Eastside Medical CenterSnellville, GA
Industry payments (Open Payments)
- 2025$108.86 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Viiv Healthcare Company | $78.83 | 1 |
| Medline Industries LP | $30.03 | 1 |
What the 2025 payments were for
- Food and Beverage$108.86 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 206 family nurse practitioners in Lawrenceville · All family nurse practitioners in Georgia