KELLY BOYETTE FNP
NPI 1053771923
Nurse Practitioner - Family in Jesup, GA

Active since March 04, 2016PECOS EnrolledAccepts Medicare Assignment
124 MEMORIAL DR, JESUP, GA 31545(912) 427-4413 Get Directions Write a Review

NPPES record last updated: March 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1053771923
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY BOYETTECredential: FNP
Location Address124 MEMORIAL DRJesup, GA 31545-0101
Mailing Address290 White Oak Drive NeLudowici, GA 31316 · (912) 294-4479
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 4, 2016
NPI 1053771923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · 207026
124 MEMORIAL DR, Jesup, GA 31545

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID5799084083
PECOS Enrollment IDI20160509002094
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
22 services22 patients

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.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
124 MEMORIAL DR
JESUP, GA 31545
Internal Medicine
124 MEMORIAL DR
JESUP, GA 31545
Surgery (Vascular Surgery)
124 MEMORIAL DR
JESUP, GA 31545
Clinic/Center
124 MEMORIAL DR
JESUP, GA 31545
Nurse Practitioner (Family)
124 MEMORIAL DR
JESUP, GA 31545

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.

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.