Individual provider Active NPI

Justin William Boyer, FNP-BC

  • Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1336841626
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3019015 Issued in KY
Practice address
King's Daughters Medical Center
12100 Princeland
Ashland, KY 41102
Phone
(606) 928-2963
NPI assigned
Mar 20, 2023
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3019015 KY Primary
Family Nurse Practitioner 363LF0000X 3019015 KY

Addresses

Primary practice location

King's Daughters Medical Center
12100 Princeland
Ashland, KY 41102

Mailing address

PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-6200

Other practice location 1

250 McDavid Blvd
Grayson, KY 41143-1603
Phone (606) 474-7835

Other practice location 2

100 Wurtland Ave
Greenup, KY 41144-1445
Phone (606) 836-0931

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
I20230707000575 KY Practitioner - Nurse Practitioner 4688033749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashland Hospital CorporationGroup PAC ID 7719882521, 169 clinicians

Practice addresses (Care Compare)

250 McDavid Blvd
Grayson, KY 41143-1603
Phone (606) 474-7835

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.16 of 100Reported as group
Quality
77.42
Promoting interoperability
100
Improvement activities
40
Cost
77.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation Multi-Specialty CurrentSince Feb 4, 2024 Accepting new patients
Kings Daughters Medcial Specialties Inc Multi-Specialty CurrentSince May 24, 2023 Accepting new patients
Ashland Hospital Corporation Multi-Specialty CurrentSince Feb 4, 2024 Accepting new patients
Kings Daughters Medical Specialties Inc Multi-Specialty CurrentSince May 24, 2023 Accepting new patients
Kings Daughters Medical Specialties Inc Multi-Specialty Current Accepting new patients

Locations

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

398 Diederich Blvd
Ashland, KY 41101
Phone (606) 324-2055

613 23rd St
Ste G30
Ashland, KY 41101
Phone (606) 327-0036

250 McDavid Blvd
Grayson, KY 41143
Phone (606) 474-7835

100 Wurtland Ave
Wurtland, KY 41144
Phone (606) 834-0144

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1336841626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KING'S DAUGHTERS MEDICAL CENTER",
            "address_2": "12100 PRINCELAND",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41102",
            "telephone_number": "606-928-2963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 McDavid Blvd",
            "address_purpose": "LOCATION",
            "city": "Grayson",
            "state": "KY",
            "postal_code": "411431603",
            "country_code": "US",
            "telephone_number": "606-474-7835",
            "fax_number": "606-474-8114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Wurtland Ave",
            "address_purpose": "LOCATION",
            "city": "Greenup",
            "state": "KY",
            "postal_code": "411441445",
            "country_code": "US",
            "telephone_number": "606-836-0931",
            "fax_number": "606-833-5605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYER",
        "first_name": "JUSTIN",
        "middle_name": "WILLIAM",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3019015",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3019015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.