KEEMA PETRIA BOLAND-BRYANT CRNP
NPI 1619557832
Nurse Practitioner - Family in Oak Lawn, IL

Q: What is Keema Boland-bryant's NPI number?

The NPI number for Keema Boland-bryant is 1619557832. It was assigned to this individual provider in the NPPES registry on April 12, 2021. The provider is also known as Keema Boland.

Q: What is Keema Boland-bryant's specialty?

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

Active since April 12, 2021PECOS Enrolled

4400 W 95TH ST STE 310, OAK LAWN, IL 60453(708) 684-9230(708) 684-9231 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 14, 2023, Apr 12, 2021 (2 updates tracked since 2021).

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About Keema Petria Boland-bryant Crnp NPPES

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

KEEMA PETRIA BOLAND-BRYANT CRNP (NPI 1619557832) is an individual family provider in Oak Lawn, Illinois, licensed in Illinois (209-027481) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619557832

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKEEMA PETRIA BOLAND-BRYANTCredential: CRNP

Location Address4400 W 95TH ST STE 310Oak Lawn, IL 60453-2660

Mailing Address29373 Network PlChicago, IL 60673-4663 · (847) 390-5900

Phone(708) 684-9230

Fax(708) 684-9231

Sole ProprietorNo

Enumeration DateApril 12, 2021

Last NPPES UpdateDecember 14, 20232 updates tracked since enumeration

NPPES CertifiedDecember 14, 2023

✔ NPI 1619557832 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 IL · 209-027481

4400 W 95TH ST STE 310, Oak Lawn, IL 60453

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Other Names 1

Other Name (5)Keema Boland

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keema Petria Boland-bryant Crnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Keema Boland-bryant reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Whatley Health Services, Inc

550 mi

Federally Qualified Health Center (FQHC)

230 HOSPITAL DR
Vernon, AL 35592

Reassigned Medicare billing, Alabama enrollment
244 clinicians in this Medicare group

NPI 1114101383 (205) 695-0450

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

37 services37 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

17 services15 patients

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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 8

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

DANIELLE ROBINSON

Nurse Practitioner