KELLIE BOEGGEMAN DEARDEN ARNP
NPI 1669662086
Nurse Practitioner in New York, NY
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
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
11Medicare enrollment records show Kellie Dearden reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10022
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Daniel Funsch Jr MD PC
- 124 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Daniel Funsch Jr MD Professional Corporation
- 40 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Florida enrollment
- 42 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Florida, Indiana, Ohio and Virginia enrollments
- 89 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Florida, Indiana, Louisiana, North Carolina, Ohio and Virginia enrollments
- 92 clinicians in this Medicare group
Fulton, MD 20759
- Reassigned Medicare billing, Washington enrollment
- 9 clinicians in this Medicare group
Dunn, NC 28334
- Reassigned Medicare billing, North Carolina enrollment
- 373 clinicians in this Medicare group
Irmo, SC 29063
- Reassigned Medicare billing, South Carolina enrollment
- 5 clinicians in this Medicare group
Bamberg, SC 29003
- Reassigned Medicare billing, South Carolina enrollment
- 2,389 clinicians in this Medicare group
Miami, FL 33162
- Reassigned Medicare billing, Florida, Indiana, Ohio and Virginia enrollments
- 115 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 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.
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.
NEW YORK, NY 10022
NEW YORK, NY 10022
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 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.
Where is Kellie Dearden located?
Kellie Dearden practices at 885 3rd Ave Fl 28, New York, NY 10022. The listed phone number is (929) 650-3990.
What is Kellie Dearden's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kellie Dearden enrolled in Medicare?
Yes. Kellie Dearden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kellie Dearden's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Dearden reassigns Medicare benefits to 11 organizations: Daniel Funsch Jr, M.D., P.C. (New York, NY), Daniel Funsch Jr, M.D., Professional Corporation (New York, NY), Dr Medical Services PC (New York, NY), Dr Rebman Bh LLC (New York, NY), Ivy Medical Group PLLC (New York, NY) and 6 more organizations, listed in the Medicare section above. 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 Kellie Dearden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kellie Dearden accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and BridgeSpan Health Company and 4 other insurers list Kellie Dearden 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 Kellie Dearden was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Kellie Boeggeman Dearden, ARNP · NPI 1669662086
Nurse Practitioner physician in New York, New York. Individual provider, active in the CMS NPPES registry since August 1, 2007.
## Identity
- **NPI:** 1669662086 (Entity type: Individual)
- **Enumerated:** August 1, 2007
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** APN355 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 885 3RD AVE FL 28, New York, NY 10022-4834
- **Phone:** (929) 650-3990
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Daniel Funsch Jr, M.D., P.C. (NPI 1316784580, New York, NY); Daniel Funsch Jr, M.D., Professional Corporation (NPI 1376389163, New York, NY); Dr Medical Services PC (NPI 1053012401, New York, NY); Dr Rebman Bh LLC (NPI 1114894540, New York, NY); Ivy Medical Group PLLC (NPI 1700558798, New York, NY); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** April 23, 2025
- **Other identifiers:** Medicaid 7006413 (NC); Medicaid NP1310 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1669662086) · Data from the CMS NPPES public registry.