KALYCA LEYANA DUBOSE ACNP-BC
NPI 1619228376
Nurse Practitioner - Acute Care in Coatesville, PA
About Kalyca Leyana Dubose Acnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KALYCA LEYANA DUBOSE ACNP-BC (NPI 1619228376) is an individual acute care provider in Coatesville, Pennsylvania, licensed in Pennsylvania (SP012373) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kalyca Leyana Dubose Acnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kalyca Dubose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newtown Square, PA 19073
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,638 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19320 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
COATESVILLE, PA 19320
COATESVILLE, PA 19320
COATESVILLE, PA 19320
COATESVILLE, PA 19320
COATESVILLE, PA 19320
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 Kalyca Dubose's NPI number?
The NPI number for Kalyca Dubose is 1619228376. It was assigned to this individual provider in the NPPES registry on September 21, 2012.
Where is Kalyca Dubose located?
Kalyca Dubose practices at 213 Reeceville Rd Suite 27, Coatesville, PA 19320. The listed phone number is (610) 383-9333.
What is Kalyca Dubose's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kalyca Dubose enrolled in Medicare?
Yes. Kalyca Dubose is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kalyca Dubose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kalyca Dubose reassigns Medicare benefits to Main Line Healthcare (Newtown Square, PA). The 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 Kalyca Dubose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kalyca Dubose was last updated on February 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kalyca Leyana Dubose, ACNP-BC · NPI 1619228376
Acute Care physician in Coatesville, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 21, 2012.
## Identity
- **NPI:** 1619228376 (Entity type: Individual)
- **Enumerated:** September 21, 2012
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** SP012373 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 213 REECEVILLE RD, SUITE 27, Coatesville, PA 19320-1528
- **Phone:** (610) 383-9333
## 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:** Main Line Healthcare (NPI 1922077643, Newtown Square, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1619228376) · Data from the CMS NPPES public registry.