KIETHAN LANCE BOYD NP
NPI 1083365043
Nurse Practitioner - Family in Rochester, NY
About Kiethan Lance Boyd Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIETHAN LANCE BOYD NP (NPI 1083365043) is an individual family provider in Rochester, New York, licensed in New York (348207) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rochester, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Kiethan Lance Boyd Np 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.
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 14607 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 20
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 Kiethan Boyd's NPI number?
The NPI number for Kiethan Boyd is 1083365043. It was assigned to this individual provider in the NPPES registry on January 12, 2022.
Where is Kiethan Boyd located?
Kiethan Boyd practices at 259 Monroe Ave, Rochester, NY 14607. The listed phone number is (585) 545-7200.
What is Kiethan Boyd's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kiethan Boyd enrolled in Medicare?
Yes. Kiethan Boyd 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.
When was this NPI record last updated?
The NPPES record for Kiethan Boyd was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Kiethan Lance Boyd, NP · NPI 1083365043
Family physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since January 12, 2022.
## Identity
- **NPI:** 1083365043 (Entity type: Individual)
- **Enumerated:** January 12, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 348207 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 259 MONROE AVE, Rochester, NY 14607-3632
- **Phone:** (585) 545-7200 · **Fax:** (585) 244-8177
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 27, 2024
- **Other identifiers:** Medicaid 06994123 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1083365043) · Data from the CMS NPPES public registry.