DR. KYLIE BOOTHE PREHN D.O.
NPI 1982100756
Family Medicine in Glendale, AZ
About Dr. Kylie Boothe Prehn D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KYLIE BOOTHE PREHN D.O. (NPI 1982100756) is an individual family medicine provider in Glendale, Arizona, licensed in Arizona (009194) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2018).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Dr. Kylie Boothe Prehn D.o. 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 Reassignment
Medicare enrollment records show Kylie Prehn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glendale, AZ 85308
- Reassigned Medicare billing, Arizona enrollment
- 107 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Prehn's NPI number?
The NPI number for Kylie Prehn is 1982100756. It was assigned to this individual provider in the NPPES registry on April 2, 2018. The provider is also known as Dr. Kylie Boothe D.O..
Where is Kylie Prehn located?
Kylie Prehn practices at 19389 N 59th Ave, Glendale, AZ 85308. The listed phone number is (623) 537-6000.
What is Kylie Prehn's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kylie Prehn enrolled in Medicare?
Yes. Kylie Prehn 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 organization bills Medicare for Kylie Prehn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kylie Prehn reassigns Medicare benefits to Midwestern University (Glendale, AZ). The 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 Kylie Prehn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kylie Prehn accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and UnitedHealthcare list Kylie Prehn 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 Prehn was last updated on September 5, 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.
# Dr. Kylie Boothe Prehn, D.O. · NPI 1982100756
Family Medicine physician in Glendale, Arizona. Individual provider, active in the CMS NPPES registry since April 2, 2018.
## Identity
- **NPI:** 1982100756 (Entity type: Individual)
- **Enumerated:** April 2, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 009194 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 19389 N 59TH AVE, Glendale, AZ 85308-6500
- **Phone:** (623) 537-6000
## 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:** Midwestern University (NPI 1932206414, Glendale, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Midwestern University, Chicago College Of Osteopathic Med, class of 2018
## Record status
- **NPPES last updated:** September 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1982100756) · Data from the CMS NPPES public registry.