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MRS. TRACY MICHELE BOLLER APRN
NPI 1316723539
Nurse Practitioner - Family in Stanford, KY

Active since September 04, 2023PECOS Enrolled
132 FRONTIER BLVD STE 103, STANFORD, KY 40484(859) 287-2949(855) 297-6367 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 25, 2023, Oct 17, 2023, Sep 4, 2023 (3 updates tracked since 2023).

About Mrs. Tracy Michele Boller Aprn NPPES

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

MRS. TRACY MICHELE BOLLER APRN (NPI 1316723539) is an individual family provider in Stanford, Kentucky, licensed in Kentucky (4010008) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316723539
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TRACY MICHELE BOLLERCredential: APRN
Location Address132 FRONTIER BLVD STE 103Stanford, KY 40484-6516
Mailing Address132 Frontier Blvd Ste 103Stanford, KY 40484-6516 · (859) 287-2949 · Fax (855) 297-6367
Phone(859) 287-2949
Fax(855) 297-6367
Sole ProprietorNo
Enumeration DateSeptember 4, 2023
Last NPPES UpdateApril 14, 20253 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1316723539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 4010008
Also ListedNurse PractitionerTaxonomy 363L00000X · License 401008 (KY)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 401008 (KY)
132 FRONTIER BLVD STE 103, Stanford, KY 40484
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1200 Skywatch DrDanville, KY 40422-2540 · Phone (859) 936-5630
Location 26470 S Highway 27Somerset, KY 42501-6075 · Phone (606) 341-1339

Other Identifiers 1

Other4010008KY · Kentucky Board Of Nursing

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tracy Michele Boller Aprn 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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services24 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40484 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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

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

JOMON WELLNESS LLC
Nurse Practitioner (Family)
132 FRONTIER BLVD STE 103
STANFORD, KY 40484
Lincoln County (859) 287-2949

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 Tracy Boller's NPI number?

The NPI number for Tracy Boller is 1316723539. It was assigned to this individual provider in the NPPES registry on September 4, 2023.

Where is Tracy Boller located?

Tracy Boller practices at 132 Frontier Blvd Ste 103, Stanford, KY 40484. The listed phone number is (859) 287-2949.

What is Tracy Boller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tracy Boller enrolled in Medicare?

Yes. Tracy Boller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tracy Boller was last updated on April 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.