KELLY J SLAVIK-BOSWORTH CNP
NPI 1366039935
Nurse Practitioner - Family in Lorain, OH

Q: What is Kelly Slavik-bosworth's NPI number?

The NPI number for Kelly Slavik-bosworth is 1366039935. It was assigned to this individual provider in the NPPES registry on December 29, 2020.

Q: What is Kelly Slavik-bosworth's specialty?

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

Active since December 29, 2020PECOS EnrolledAccepts Medicare Assignment

3700 KOLBE RD, LORAIN, OH 44053(440) 960-4416(440) 960-4417 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2023, Dec 29, 2020 (2 updates tracked since 2020).

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About Kelly J Slavik-bosworth Cnp NPPES

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

KELLY J SLAVIK-BOSWORTH CNP (NPI 1366039935) is an individual family provider in Lorain, Ohio, licensed in Ohio (APRN.CNP.0028216) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Mercy Regional Medical Center, and maintains a secondary practice location in Avon.

NPPES Registry Identity

NPI1366039935

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY J SLAVIK-BOSWORTHCredential: CNP

Location Address3700 KOLBE RDLorain, OH 44053-1611

Mailing Address3700 Kolbe RdLorain, OH 44053-1611 · (440) 960-4416 · Fax (440) 960-4417

Phone(440) 960-4416

Fax(440) 960-4417

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 29, 2020

Last NPPES UpdateJune 19, 20232 updates tracked since enumeration

NPPES CertifiedJune 19, 2023

✔ NPI 1366039935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.0028216

3700 KOLBE RD, Lorain, OH 44053

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Secondary Practice Location 1

Location 136000 Detroit Rd Ste 200Avon, OH 44011-1641 · Phone (440) 937-8074 · Fax (440) 937-8725

Other Identifiers 1

Medicaid0427883OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Kelly J Slavik-bosworth Cnp 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.

PECOS PAC ID9234543760

PECOS Enrollment IDI20210125002454

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 2

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.

172 services100 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360172

Location3700 Kolbe RoadLorain, OH 44053 · Lorain County

Emergency services Birthing friendly

Mercy Allen Hospital

Critical Access Hospitals · Oberlin, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361306

Location200 West Lorain StreetOberlin, OH 44074 · Lorain County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44053 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 20

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

MADISON PALMER

Physical Therapy Assistant