CARLY JO BOSS AGPCNP
NPI 1487318606
Nurse Practitioner - Gerontology in Byron Center, MI
About Carly Jo Boss Agpcnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY JO BOSS AGPCNP (NPI 1487318606) is an individual gerontology provider in Byron Center, Michigan, licensed in Michigan (4704297072) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carly Jo Boss Agpcnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Carly Boss reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49548
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
Greenville, MI 48838
- Reassigned Medicare billing, Michigan enrollment
- 242 clinicians in this Medicare group
Reed City, MI 49677
- Reassigned Medicare billing, Michigan enrollment
- 132 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 4
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 49315 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BYRON CENTER, MI 49315
BYRON CENTER, MI 49315
BYRON CENTER, MI 49315
BYRON CENTER, MI 49315
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 Carly Boss's NPI number?
The NPI number for Carly Boss is 1487318606. It was assigned to this individual provider in the NPPES registry on October 25, 2021. The provider is also known as Carly Jo Adkins Agpcnp.
Where is Carly Boss located?
Carly Boss practices at 7751 Byron Center Ave SW Ste C, Byron Center, MI 49315. The listed phone number is (616) 267-7668.
What is Carly Boss's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Carly Boss enrolled in Medicare?
Yes. Carly Boss is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Carly Boss's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Boss reassigns Medicare benefits to 3 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI), Spectrum Health United (Greenville, MI) and Reed City Hospital Corporation (Reed City, MI). 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 Carly Boss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carly Boss accept?
Health plans from Priority Health list Carly Boss as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carly Boss was last updated on January 12, 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.
# Carly Jo Boss, AGPCNP · NPI 1487318606
Gerontology physician in Byron Center, Michigan. Individual provider, active in the CMS NPPES registry since October 25, 2021.
## Identity
- **NPI:** 1487318606 (Entity type: Individual)
- **Enumerated:** October 25, 2021
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 4704297072 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 7751 BYRON CENTER AVE SW STE C, Byron Center, MI 49315-8001
- **Phone:** (616) 267-7668
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Spectrum Health Primary Care Partners (NPI 1821422007, Grand Rapids, MI); Spectrum Health United (NPI 1538436852, Greenville, MI); Reed City Hospital Corporation (NPI 1538239892, Reed City, MI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1487318606) · Data from the CMS NPPES public registry.