KELLY JO BOYER NP
NPI 1962462689
Nurse Practitioner in Elkhart, IN
About Kelly Jo Boyer Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY JO BOYER NP (NPI 1962462689) is an individual nurse practitioner in Elkhart, Indiana, licensed in Indiana (71001272A) and active in the NPI registry since March 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kelly Jo Boyer Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2018 through January 1, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46516 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELKHART, IN 46516
ELKHART, IN 46516
ELKHART, IN 46516
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 Kelly Boyer's NPI number?
The NPI number for Kelly Boyer is 1962462689. It was assigned to this individual provider in the NPPES registry on March 25, 2006.
Where is Kelly Boyer located?
Kelly Boyer practices at 1004 Parkway Ave Suite C, Elkhart, IN 46516. The listed phone number is (574) 294-1883.
What is Kelly Boyer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kelly Boyer enrolled in Medicare?
No. Kelly Boyer has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Kelly Boyer was last updated on February 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kelly Jo Boyer, NP · NPI 1962462689
Nurse Practitioner physician in Elkhart, Indiana. Individual provider, active in the CMS NPPES registry since March 25, 2006.
## Identity
- **NPI:** 1962462689 (Entity type: Individual)
- **Enumerated:** March 25, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 71001272A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1004 PARKWAY AVE, SUITE C, Elkhart, IN 46516-9326
- **Phone:** (574) 294-1883 · **Fax:** (574) 295-1749
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** February 12, 2015
- **Other identifiers:** Medicaid 200313030 (IN); Medicare ID-Type Unspecified 188940J (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1962462689) · Data from the CMS NPPES public registry.