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DAKOTA BOISSEAU
NPI 1477203602
Family Medicine in Greenville, SC

Active since March 29, 2022Opted out of Medicare · through Feb 22, 2028
877 W FARIS RD, GREENVILLE, SC 29605(864) 455-7800 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dakota Boisseau NPPES

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

DAKOTA BOISSEAU (NPI 1477203602) is an individual family medicine provider in Greenville, South Carolina, licensed in South Carolina (LL87601) and active in the NPI registry since March 2022. She has opted out of Medicare through February 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1477203602
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDAKOTA BOISSEAU
Location Address877 W FARIS RDGreenville, SC 29605-4289
Mailing Address877 W Faris RdGreenville, SC 29605-4289
Phone(864) 455-7800
Sole ProprietorYes
Enumeration DateMarch 29, 2022
Last NPPES UpdateJuly 7, 2022
NPPES CertifiedJuly 7, 2022
✔ NPI 1477203602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · LL87601
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
877 W FARIS RD, Greenville, SC 29605
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dakota Boisseau has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 22, 2026 through February 22, 2028.

Opt-Out Effective DateFebruary 22, 2026
Opt-Out In Effect ThroughFebruary 22, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

MAKAYLA SWYGERT MD
Family Medicine
877 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 455-9022
ARTHUR LEE EBERLY III MD
Internal Medicine (Cardiovascular Disease)
877 W FARIS RD, STE B
GREENVILLE, SC 29605
Greenville County (864) 455-6900
GREENVILLE HEALTH SYSTEM
General Acute Care Hospital
877 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 455-7800
DR. YAMINI CHAVAN OHMER D.O.
Family Medicine
877 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 455-9022
DR. JOSELYN KNOWLING MD
Family Medicine
877 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 455-9022
YATHAVAN RAJAKULASINGAM MD
Family Medicine
877 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 455-7800
JOEL RHEIN AMIDON MD
Family Medicine
877 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 455-7800
WILLIAM SANDERS
Family Medicine
877 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 455-7800

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 Dakota Boisseau's NPI number?

The NPI number for Dakota Boisseau is 1477203602. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Dakota Boisseau located?

Dakota Boisseau practices at 877 W Faris Rd, Greenville, SC 29605. The listed phone number is (864) 455-7800.

What is Dakota Boisseau's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dakota Boisseau enrolled in Medicare?

No. Dakota Boisseau has opted out of Medicare through February 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Dakota Boisseau was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.