KELLI ALICIA BOATRIGHT
NPI 1972287167
Nurse Practitioner - Family in Vidalia, GA

Q: What is Kelli Boatright's NPI number?

The NPI number for Kelli Boatright is 1972287167. It was assigned to this individual provider in the NPPES registry on June 9, 2023.

Q: What is Kelli Boatright's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelli Boatright was last updated on June 9, 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.

Active since June 09, 2023PECOS EnrolledAccepts Medicare Assignment

1 MEADOWS PKWY, VIDALIA, GA 30474(912) 535-5555 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kelli Alicia Boatright NPPES

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

KELLI ALICIA BOATRIGHT (NPI 1972287167) is an individual family provider in Vidalia, Georgia, licensed in Georgia (RN295084) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Memorial Satilla Health, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1972287167

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLI ALICIA BOATRIGHT

Location Address1 MEADOWS PKWYVidalia, GA 30474-8759

Mailing Address1 Meadows PkwyVidalia, GA 30474-8759 · (912) 535-5555

Phone(912) 535-5555

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 9, 2023

NPPES CertifiedJune 9, 2023

✔ NPI 1972287167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN295084

1 MEADOWS PKWY, Vidalia, GA 30474

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Kelli Alicia Boatright 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 ID2769845593

PECOS Enrollment IDI20230828001516

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.

37 services37 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

17 services17 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.

17 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Satilla Health

Acute Care Hospitals · Waycross, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110003

Location1900 Tebeau StreetWaycross, GA 31501 · Ware County

Emergency services

Bacon County Hospital

Critical Access Hospitals · Alma, GA

OwnershipVoluntary non-profit - Other

CMS Certification Number111327

Location302 South Wayne StreetAlma, GA 31510 · Bacon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30474 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 20

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

MRS. CINDY ELLEN HAND NP

Nurse Practitioner