KIM BOVA NP
NPI 1861119125
Nurse Practitioner - Family in Syracuse, NY
About Kim Bova Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIM BOVA NP (NPI 1861119125) is an individual family provider in Syracuse, New York, licensed in New York (350648) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of Other (2017).
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 and accepts Medicare assignment
Kim Bova Np 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
4Medicare enrollment records show Kim Bova reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Remsen, NY 13438
- Reassigned Medicare billing, New York enrollment
- 5 clinicians in this Medicare group
New York, NY 10025
- Reassigned Medicare billing, New York enrollment
- 179 clinicians in this Medicare group
Frederick, MD 21701
- Reassigned Medicare billing, New York enrollment
- 158 clinicians in this Medicare group
Las Vegas, NV 89144
- Reassigned Medicare billing, New York enrollment
- 178 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 12
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Hospital S U N Y Health Science Center
Acute Care Hospitals · Syracuse, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13205 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.
SYRACUSE, NY 13205
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 Kim Bova's NPI number?
The NPI number for Kim Bova is 1861119125. It was assigned to this individual provider in the NPPES registry on October 26, 2022.
Where is Kim Bova located?
Kim Bova practices at 700 E Brighton Ave, Syracuse, NY 13205. The listed phone number is (315) 413-3200.
What is Kim Bova's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kim Bova enrolled in Medicare?
Yes. Kim Bova 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 Kim Bova's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kim Bova reassigns Medicare benefits to 4 organizations: 1977 Mesk (Remsen, NY), New York General Medical Services PC (New York, NY), Cs Pacs 3 Northeast, LLC (Frederick, MD) and Nv Pacs 2 LLC (Las Vegas, NV). 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 Kim Bova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kim Bova affiliated with any hospitals?
According to CMS data, Kim Bova is affiliated with University Hospital S U N Y Health Science Center.
When was this NPI record last updated?
The NPPES record for Kim Bova was last updated on October 26, 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.
# Kim Bova, NP · NPI 1861119125
Family physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since October 26, 2022.
## Identity
- **NPI:** 1861119125 (Entity type: Individual)
- **Enumerated:** October 26, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 350648 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 700 E BRIGHTON AVE, Syracuse, NY 13205-2201
- **Phone:** (315) 413-3200
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): 1977 Mesk (NPI 1265314629, Remsen, NY); New York General Medical Services PC (NPI 1700315538, New York, NY); Cs Pacs 3 Northeast, LLC (NPI 1093598898, Frederick, MD); Nv Pacs 2 LLC (NPI 1427534809, Las Vegas, NV) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 26, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1861119125) · Data from the CMS NPPES public registry.