KELLY BOUIE
NPI 1023561537
Nurse Practitioner - Family in Irving, TX
About Kelly Bouie NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY BOUIE (NPI 1023561537) is an individual family provider in Irving, Texas, licensed in Michigan (2016013730) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Bouie is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Bouie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Auburn Hills, MI 48326
- Reassigned Medicare billing, Michigan enrollment
- 253 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
IRVING, TX 75063
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelly Bouie's NPI number?
The NPI number for Kelly Bouie is 1023561537. It was assigned to this individual provider in the NPPES registry on August 1, 2016.
Where is Kelly Bouie located?
Kelly Bouie practices at 3050 Regent Blvd Ste 200, Irving, TX 75063. The listed phone number is (214) 689-8079.
What is Kelly Bouie's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Bouie enrolled in Medicare?
Yes. Kelly Bouie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kelly Bouie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Bouie reassigns Medicare benefits to Easterseals Morc Health Care, Inc. (Auburn Hills, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Bouie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Bouie accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Kelly Bouie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelly Bouie was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kelly Bouie · NPI 1023561537
Family physician in Irving, Texas. Individual provider, active in the CMS NPPES registry since August 1, 2016.
## Identity
- **NPI:** 1023561537 (Entity type: Individual)
- **Enumerated:** August 1, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2016013730 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3050 REGENT BLVD STE 200, Irving, TX 75063-5806
- **Phone:** (214) 689-8079
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Easterseals Morc Health Care, Inc. (NPI 1376526616, Auburn Hills, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1023561537) · Data from the CMS NPPES public registry.