KELLIE BOEGGEMAN DEARDEN ARNP - NPI 1669662086 - Nurse Practitioner in New York, NY

Q: What is Kellie Dearden's NPI number?

The NPI number for Kellie Dearden is 1669662086. It was assigned to this individual provider in the NPPES registry on August 1, 2007.

Q: What is Kellie Dearden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kellie Dearden was last updated on April 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kellie Boeggeman Dearden Arnp NPPES

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

KELLIE BOEGGEMAN DEARDEN ARNP (NPI 1669662086) is an individual nurse practitioner in New York, New York, licensed in South Carolina (APN355) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1669662086

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLIE BOEGGEMAN DEARDENCredential: ARNP

Location Address885 3RD AVE FL 28New York, NY 10022-4834

Mailing Address16706 Ne 98th StVancouver, WA 98682-1275 · Fax (803) 888-2299

Phone(929) 650-3990

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateAugust 1, 2007

Last NPPES UpdateApril 23, 2025

NPPES CertifiedApril 23, 2025

✔ NPI 1669662086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in SC · APN355✔ Licensed in NC · 248427

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9165739 (FL)

885 3RD AVE FL 28, New York, NY 10022

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Other Identifiers 2

Medicaid7006413NC

MedicaidNP1310SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, First Choice Next, Providence Health Plan 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

Kellie Boeggeman Dearden Arnp 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 ID1254419146

PECOS Enrollment IDI20250227001090, I20250306000479, I20250521000390, I20250523000331, I20250523001985

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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 10

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

DR MEDICAL SERVICES PC

Clinic/Center (Multi-Specialty)