MS. KELLY JO BOEVE LLP
NPI 1063701175
Psychologist - Intellectual and Developmental Disabilities in Holland, MI

Q: What is Kelly Boeve's NPI number?

The NPI number for Kelly Boeve is 1063701175. It was assigned to this individual provider in the NPPES registry on March 30, 2011. The provider is also known as Ms. Kelly Jo Van Valkenburg LLP.

Q: What is Kelly Boeve's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Boeve was last updated on March 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 30, 2011PECOS Enrolled

12265 JAMES ST, HOLLAND, MI 49424(616) 393-5698(616) 393-5687 Get Directions Write a Review

NPPES record last updated: March 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Kelly Jo Boeve Llp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KELLY JO BOEVE LLP (NPI 1063701175) is an individual intellectual and developmental disabilities provider in Holland, Michigan, licensed in Michigan (6301011390) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063701175

Entity TypeIndividualFemale

Primary Taxonomy103TM1800X

Provider Legal NameMS. KELLY JO BOEVECredential: LLP

Location Address12265 JAMES STHolland, MI 49424-8613

Mailing Address12265 James StHolland, MI 49424-8613 · (616) 393-5698 · Fax (616) 393-5687

Phone(616) 393-5698

Fax(616) 393-5687

Sole ProprietorNo

Enumeration DateMarch 30, 2011

✔ NPI 1063701175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers

Taxonomy Code103TM1800X

License✔ Licensed in MI · 6301011390

12265 JAMES ST, Holland, MI 49424

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Other Names 1

Former Name (1)Ms. Kelly Jo Van Valkenburg Llp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kelly Jo Boeve Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERYL ANN MASCORRO RN

Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)