KELLY BOYETTE FNP
NPI 1053771923
Nurse Practitioner - Family in Jesup, GA
About Kelly Boyette Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY BOYETTE FNP (NPI 1053771923) is an individual family provider in Jesup, Georgia, licensed in Georgia (207026) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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 Boyette Fnp 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 Reassignments
3Medicare enrollment records show Kelly Boyette reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brunswick, GA 31520
- Reassigned Medicare billing, Georgia enrollment
- 100 clinicians in this Medicare group
Hiram, GA 30141
- Reassigned Medicare billing, Georgia enrollment
- 551 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, Georgia enrollment
- 586 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 31545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Boyette's NPI number?
The NPI number for Kelly Boyette is 1053771923. It was assigned to this individual provider in the NPPES registry on March 4, 2016.
Where is Kelly Boyette located?
Kelly Boyette practices at 124 Memorial Dr, Jesup, GA 31545. The listed phone number is (912) 427-4413.
What is Kelly Boyette's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Boyette enrolled in Medicare?
Yes. Kelly Boyette 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 organizations bill Medicare for Kelly Boyette's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Boyette reassigns Medicare benefits to 3 organizations: Emergency Physicians Inc (Brunswick, GA), Peachtree Immediate Care Fp, LLC (Hiram, GA) and Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC). Each 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 Boyette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Boyette accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kelly Boyette 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 Boyette was last updated on March 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 Boyette, FNP · NPI 1053771923
Family physician in Jesup, Georgia. Individual provider, active in the CMS NPPES registry since March 4, 2016.
## Identity
- **NPI:** 1053771923 (Entity type: Individual)
- **Enumerated:** March 4, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 207026 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 124 MEMORIAL DR, Jesup, GA 31545-0101
- **Phone:** (912) 427-4413
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Emergency Physicians Inc (NPI 1477001972, Brunswick, GA); Peachtree Immediate Care Fp, LLC (NPI 1437194156, Hiram, GA); Acs Primary Care Physicians - Southeast PC (NPI 1861430555, Myrtle Beach, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** March 4, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1053771923) · Data from the CMS NPPES public registry.