Elaine Boyd, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Harrisonville, MO
NPI 1386833788 · NPPES record last updated Apr 7, 2021
Key facts
- NPI
- 1386833788
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 079894 (MO)
- Practice address
- 300 Galaxie Ave.
Harrisonville, MO 64701 - Phone
- (888) 403-1071
- NPI assigned
- Oct 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080725000713 | MO | Practitioner - Nurse Practitioner | 7113090838 | Reassigns benefits to 2 organizations |
| I20190405000120 | KS | Practitioner - Nurse Practitioner | 7113090838 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-46133-092 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
| 079894 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront-Rosenzweig Medical Services Professional Corporation | Current |
Accepting new patients |
Locations
2101 SW 21st St
Topeka, KS 66604
Phone (660) 559-6188
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 53-46133-092 | KS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 079894 | MO | Yes |
Addresses
Primary practice location
300 Galaxie Ave.
Harrisonville, MO 64701
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other names
- Elaine Boyd
Other providers in Harrisonville, MO
- Bio-Medical Applications of Missouri, Inc.
- Robert Eugene Blair Jr.
- Janet Lavada Blazer
- Jaime Rachelle Mortimer Bonar
- Leesa Bowman
- Sarah Branton
- Ashlee Diane Brattin
- Breakthrough Dental Partners LLC
- Cassandra L Brewster
- Samuel Dean Brewster
All providers in Harrisonville, MO · Psychiatric/Mental Health Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.