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KYLIE MARIAH BOOGAARD
NPI 1871079905
Physician Assistant - Surgical in Palatka, FL

Active since July 11, 2018PECOS Enrolled
92.71/100
CMS Quality Rating
414 ZEAGLER DR, PALATKA, FL 32177(386) 328-4123 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2023, Jan 19, 2022, Jul 11, 2018 (3 updates tracked since 2018).

About Kylie Mariah Boogaard NPPES

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

KYLIE MARIAH BOOGAARD (NPI 1871079905) is an individual surgical provider in Palatka, Florida and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1871079905
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKYLIE MARIAH BOOGAARD
Location Address414 ZEAGLER DRPalatka, FL 32177-3815
Mailing Address265 Brookview Centre Way Ste 400Knoxville, TN 37919-4052
Phone(386) 328-4123
Sole ProprietorNo
Enumeration DateJuly 11, 2018
Last NPPES UpdateFebruary 23, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
✔ NPI 1871079905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
414 ZEAGLER DR, Palatka, FL 32177
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1107 McLeod Health BlvdMyrtle Beach, SC 29579-4477 · Phone (843) 646-8200
Location 24000 Highway 9 ELittle River, SC 29566-7833 · Phone (843) 390-8100
Location 33655 Mitchell StLoris, SC 29569-2827 · Phone (843) 716-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kylie Mariah Boogaard 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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
139 services139 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
102 services102 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
35 services35 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.23
Promoting Interoperability100
Improvement Activities40
Cost60.17

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.

PUTNAM PULMONARY & PRIMARY CARE, PA
Internal Medicine (Pulmonary Disease)
414 ZEAGLER DR
PALATKA, FL 32177
Putnam County (386) 530-2749
DR. CARROLL NILES PHILLIPS II DO
Surgery
414 ZEAGLER DR
PALATKA, FL 32177
Putnam County (386) 328-4123
PUTNAM PHYSICIAN PRACTICES LLC
Surgery
414 ZEAGLER DR
PALATKA, FL 32177
Putnam County (386) 328-4123
DR. CHRISTOPHER WILLARD VINCENT SALZMAN M.D.
Surgery
414 ZEAGLER DR
PALATKA, FL 32177
Putnam County (386) 328-4123
DR. KARL MATTHEW BAIRD M.D.
Orthopaedic Surgery
414 ZEAGLER DR
PALATKA, FL 32177
Putnam County (386) 328-4123
PUTNAM PULMONARY & PRIMARY CARE, PA
Internal Medicine (Critical Care Medicine)
414 ZEAGLER DR
PALATKA, FL 32177
Putnam County (386) 530-2749
PUTNAM SURGICAL GROUP, LLC
Surgery
414 ZEAGLER DR
PALATKA, FL 32177
Putnam County (386) 328-4123
PUTNAM AMBULATORY SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
414 ZEAGLER DR
PALATKA, FL 32177
Putnam County (386) 328-5711

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 Kylie Boogaard's NPI number?

The NPI number for Kylie Boogaard is 1871079905. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Where is Kylie Boogaard located?

Kylie Boogaard practices at 414 Zeagler Dr, Palatka, FL 32177. The listed phone number is (386) 328-4123.

What is Kylie Boogaard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kylie Boogaard enrolled in Medicare?

Yes. Kylie Boogaard is registered in the Medicare PECOS enrollment system.

What insurance does Kylie Boogaard accept?

Health plans from Oscar Health Maintenance Organization of Florida list Kylie Boogaard 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 Kylie Boogaard was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.