Individual provider Active NPI

Karrin Burnadette Boylston, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Taylor, MI
National Provider Identifier
1194411702
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704317780 Issued in MI
Practice address
20500 Eureka Rd
Taylor, MI 48180-6332
Phone
(517) 882-3732
NPI assigned
Apr 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704317780 MI Primary

Addresses

Primary practice location

20500 Eureka Rd
Taylor, MI 48180-6332

Mailing address

14083 Pierce Dr
Redford, MI 48239-3247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20230502002671 MI Practitioner - Nurse Practitioner 0143685826 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commerce Sports and Spine PLLCGroup PAC ID 3870926397, 12 clinicians
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Practice addresses (Care Compare)

29877 Telegraph Rd
Suite 400
Southfield, MI 48034-7661
Phone (248) 294-0539

3200 Greenfield Rd
Suite 109
Dearborn, MI 48120-1802
Phone (517) 492-0517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704317780MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC CurrentSince May 1, 2023 Accepting new patients
Commerce Sports and Spine PLLC CurrentSince Sep 16, 2024 Accepting new patients
VPS of Mi PLLC CurrentSince Oct 3, 2023 Accepting new patients
New Leaf Support Services Current Accepting new patients
Downriver Mental Health Clinic PC CurrentSince May 1, 2023 Accepting new patients

Locations

14825 W McNichols Rd
Detroit, MI 48235
Phone (313) 838-7900

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

31500 W 13 Mile Rd
Ste 100
Farmington Hills, MI 48334
Phone (248) 509-4070

25880 Outer Dr
Lincoln Park, MI 48146
Phone (313) 294-9410

29877 Telegraph Rd
Ste 400
Southfield, MI 48034
Phone (248) 294-0539

20500 Eureka Rd
Ste 200
Taylor, MI 48180
Phone (734) 285-8282

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.karrinboylston@150339.advancedmd-direct.com

Organizations & group practices 5

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": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1194411702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14083 PIERCE DR",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20500 EUREKA RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806332",
            "telephone_number": "517-882-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLSTON",
        "first_name": "KARRIN",
        "middle_name": "BURNADETTE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704317780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.