Individual provider Active NPI

Kristen B Boyce, DPM

  • Podiatrist
  • Everett, WA
National Provider Identifier
1407906324
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO60567259 Issued in WA
Practice address
3802 Broadway
Suite B
Everett, WA 98201-5032
Phone
(425) 259-0855
Fax
(425) 259-0856
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO60567259 WA Primary

Addresses

Primary practice location

3802 Broadway
Suite B
Everett, WA 98201-5032

Mailing address

3802 Broadway
Suite B
Everett, WA 98201-5032
Phone (425) 259-0855

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151006003132 WA Practitioner - Podiatry 8729176870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Washington Medical Group Inc PSGroup PAC ID 7517870314, 111 clinicians

Practice addresses (Care Compare)

3822 Colby Ave
Suite 100
Everett, WA 98201-4913
Phone (425) 263-8980

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
243COMDProfessional Counselor
468COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc PS CurrentSince Sep 1, 2015 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Sep 1, 2015 Accepting new patients
Western Washington Medical Group, Inc PS Podiatrist Past Accepting new patients

Locations

3802 Broadway
#B
Everett, WA 98201
Phone (425) 259-0855

1330 Rockefeller Ave
Ste 450
Everett, WA 98201
Phone (206) 258-6801

4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122

3822 Colby Ave
#100
Everett, WA 98201
Phone (425) 259-4041

1728 W Marine View Dr
Ste 111
Everett, WA 98201

1728 W Marine View Dr
Ste 110
Everett, WA 98201
Phone (425) 259-4041

Interoperability endpoints

  • Direct secure messaging: kboyce726880@direct.multicare.org

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1407906324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 BROADWAY",
            "address_2": "SUITE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982015032",
            "telephone_number": "425-259-0855",
            "fax_number": "425-259-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 BROADWAY",
            "address_2": "SUITE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982015032",
            "telephone_number": "425-259-0855",
            "fax_number": "425-259-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYCE",
        "first_name": "KRISTEN",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO60567259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.