KEVIN BOGUE NURSE PRACTITIONER
NPI 1124410303
Nurse Practitioner - Adult Health in New York, NY

Q: What is Kevin Bogue's NPI number?

The NPI number for Kevin Bogue is 1124410303. It was assigned to this individual provider in the NPPES registry on February 25, 2015.

Q: What is Kevin Bogue's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Bogue was last updated on February 5, 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.

Active since February 25, 2015PECOS Enrolled

1 PENN PLZ, 8TH FLOOR, NEW YORK, NY 10119(646) 771-2206(844) 290-6670 Get Directions Write a Review

NPPES record last updated: February 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kevin Bogue Nurse Practitioner NPPES

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

KEVIN BOGUE NURSE PRACTITIONER (NPI 1124410303) is an individual adult health provider in New York, New York, licensed in New York (307208) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124410303

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameKEVIN BOGUECredential: NURSE PRACTITIONER

Location Address1 PENN PLZ, 8TH FLOORNew York, NY 10119-0002

Mailing Address225 E 79th St Apt 8dNew York, NY 10075-0827 · (917) 804-7966

Phone(646) 771-2206

Fax(844) 290-6670

Sole ProprietorYes

Enumeration DateFebruary 25, 2015

Last NPPES UpdateFebruary 5, 2016

✔ NPI 1124410303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 307208

1 PENN PLZ, New York, NY 10119

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Bogue Nurse Practitioner 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10119 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.

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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.

MS. LOIS A TOBIN FNP

Nurse Practitioner (Family)

1 PENN PLZ, 7TH FLOOR SUITE 725
NEW YORK, NY 10119

New York County (800) 842-2478

D'ARLENE CAMPBELL NP

Nurse Practitioner (Family)

1 PENN PLZ, SUITE 725
NEW YORK, NY 10119

New York County (516) 451-7504

LIANDRA WAISOME NP

Nurse Practitioner (Psychiatric/Mental Health)

1 PENN PLZ, SUITE 725
NEW YORK, NY 10119

New York County (917) 364-0995

GALE Y BLAKLEY MD

Obstetrics & Gynecology

1 PENN PLZ
NEW YORK, NY 10119

New York County (763) 957-6261

MRS. ELSAMMA ABRAHAM ANP

Nurse Practitioner

1 PENN PLZ, 8TH FLOOR
NEW YORK, NY 10119

New York County (646) 627-3803

MR. DANIEL JOSEPH MAUGHAN FNP

Nurse Practitioner (Family)

1 PENN PLZ
NEW YORK, NY 10119

New York County (646) 306-4778

MRS. JOAN W CASSIDY FNP

Nurse Practitioner (Family)

1 PENN PLZ
NEW YORK, NY 10119

New York County (212) 216-6827

ROSIE M. MALCOLM NP

Nurse Practitioner (Family)

1 PENN PLZ, 7TH FLOOR, SUITE 725
NEW YORK, NY 10119

New York County (800) 842-2478

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 Kevin Bogue's NPI number?

The NPI number for Kevin Bogue is 1124410303. It was assigned to this individual provider in the NPPES registry on February 25, 2015.

Where is Kevin Bogue located?

Kevin Bogue practices at 1 Penn Plz 8th Floor, New York, NY 10119. The listed phone number is (646) 771-2206.

What is Kevin Bogue's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kevin Bogue enrolled in Medicare?

Yes. Kevin Bogue is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Bogue was last updated on February 5, 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.