Individual provider Active NPI

Kimberly Sue Boros, CRNP

  • Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1225001597
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP007744 Issued in PA
Practice address
490 E North Ave
Suite 307
Pittsburgh, PA 15212-4740
Phone
(412) 359-5822
Fax
(412) 359-6620
NPI assigned
Feb 8, 2006
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP007744 PA Primary

Addresses

Primary practice location

490 E North Ave
Suite 307
Pittsburgh, PA 15212-4740

Mailing address

PO Box 641031
Pittsburgh, PA 15264-1031
Phone (724) 968-5868

Other practice location 1

127 Oneida Valley Rd Ste 400
Butler, PA 16001-2251
Phone (866) 620-6761

Other identifiers 1

IdentifierTypeStateIssuer
1026575450001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kboros10630@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040331001014 PA Practitioner - Nurse Practitioner 5395737340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1 Nolte Dr
Kittanning, PA 16201-7111

100 Medical Blvd
Canonsburg, PA 15317-9762
Phone (724) 745-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN267647LPAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Dec 18, 2011 Accepting new patients
Allegheny Clinic CurrentSince Dec 18, 2011 Accepting new patients

Locations

100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

490 E North Ave
Ste 307
Pittsburgh, PA 15212
Phone (412) 321-4925

Interoperability endpoints

  • Direct secure messaging: kboros10630@direct.ahn.org

Organizations & group practices 3

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1225001597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641031",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152641031",
            "telephone_number": "724-968-5868",
            "fax_number": "724-284-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 E NORTH AVE",
            "address_2": "SUITE 307",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124740",
            "telephone_number": "412-359-5822",
            "fax_number": "412-359-6620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Oneida Valley Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160012251",
            "country_code": "US",
            "telephone_number": "866-620-6761",
            "fax_number": "724-282-3043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOROS",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP007744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026575450001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kboros10630@direct.ahn.org",
            "affiliation": "N",
            "address_1": "490 E North Ave",
            "address_2": "Suite 307",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.