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, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
6Medicare enrollment records show Kiethan Boyd reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, NY 14608
- Reassigned Medicare billing, New York enrollment
- 1,442 clinicians in this Medicare group
New York, NY 10025
- Reassigned Medicare billing, New York enrollment
- 179 clinicians in this Medicare group
Levittown, PA 19057
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Mercer Bucks Medical Associates PC
- 42 clinicians in this Medicare group
Frederick, MD 21701
- Reassigned Medicare billing, New York enrollment
- 158 clinicians in this Medicare group
Naperville, IL 60565
- Reassigned Medicare billing, New York enrollment
- 45 clinicians in this Medicare group
Las Vegas, NV 89144
- Reassigned Medicare billing, New York enrollment
- 178 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 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.
ROCHESTER, NY 14607
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.
Which organizations bill Medicare for Kiethan Boyd's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kiethan Boyd reassigns Medicare benefits to 6 organizations: The Unity Hospital Of Rochester (Rochester, NY), New York General Medical Services PC (New York, NY), Mercer Bucks Medical Associates, P.C. (Levittown, PA), Cs Pacs 3 Northeast, LLC (Frederick, MD), First Docs PC (Naperville, IL) and 1 more organization, listed in the Medicare section above. 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 Kiethan Boyd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 2 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.
# 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
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): The Unity Hospital Of Rochester (NPI 1689891178, Rochester, NY); New York General Medical Services PC (NPI 1700315538, New York, NY); Mercer Bucks Medical Associates, P.C. (NPI 1952485971, Levittown, PA); Cs Pacs 3 Northeast, LLC (NPI 1093598898, Frederick, MD); First Docs PC (NPI 1417655465, Naperville, IL); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **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.