Individual provider Active NPI

Brittany Nicole Boylan, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1073877635
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3007519 Issued in KY
Practice address
2307 River Rd Ste 101
Louisville, KY 40206-5000
Phone
(502) 583-6647
Fax
(502) 585-4824
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-164985 AL
Family Nurse Practitioner 363LF0000X 3007519 KY Primary

Addresses

Primary practice location

2307 River Rd Ste 101
Louisville, KY 40206-5000

Mailing address

2307 River Rd Ste 101
Louisville, KY 40206-5000
Phone (502) 583-6647

Other practice location 1

555 S Floyd St
Louisville, KY 40202-3822
Phone (502) 588-3440

Other identifiers 2

IdentifierTypeStateIssuer
201329050MedicaidIN
7100223800MedicaidKY

Other names 1

  • Brittany Nicole Bell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121115000499 KY Practitioner - Nurse Practitioner 5294986444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians

Practice addresses (Care Compare)

5929 Timber Ridge Dr
Prospect, KY 40059-8132
Phone (502) 228-2507

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
66.02
Promoting interoperability
100
Improvement activities
40
Cost
79.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Nov 1, 2023 Accepting new patients
Skin Group PLLC Past Accepting new patients
Premier Allergist of Florida LLC PastSince Mar 18, 2018 Accepting new patients

Locations

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

5929 Timber Ridge Dr
Prospect, KY 40059
Phone (502) 228-2507

Interoperability endpoints

  • Direct secure messaging: bboylan1@skingroup.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1073877635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 RIVER RD STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402065000",
            "telephone_number": "502-583-6647",
            "fax_number": "502-585-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 RIVER RD STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402065000",
            "telephone_number": "502-583-6647",
            "fax_number": "502-585-4824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 S Floyd St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023822",
            "country_code": "US",
            "telephone_number": "502-588-3440",
            "fax_number": "502-588-3441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLAN",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-164985",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201329050",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100223800",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "BELL",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.