Veronica L Boley, APRN
Individual provider Active NPI Family Nurse Practitioner · Gray, KY
NPI 1457784159 · NPPES record last updated Jun 30, 2015
Key facts
- NPI
- 1457784159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3008070 (KY)
- Practice address
- 39 Cumberland Gap PLZ
Gray, KY 40734-4536 - Phone
- (606) 526-9005
- Fax
- (606) 526-8606
- NPI assigned
- Aug 16, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Practice of Kentucky LLC
Practice addresses (Care Compare)
21 Crestview Dr
Manchester, KY 40962-7012
Phone (606) 594-1769
Hospital & facility affiliations
- AdventHealthManchester
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- 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 |
|---|---|---|---|---|
| I20130930000574 | KY | Practitioner - Nurse Practitioner | 3173757457 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice of Kentucky LLC | Family | Past |
Accepting new patients |
| Edwards Clinic, PSC | Family | Past | Accepting new patients |
Interoperability endpoints
- veronicaboley@heucp-ky.direct.office.nextgen.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3008070 | KY | Yes |
Addresses
Primary practice location
39 Cumberland Gap PLZ
Gray, KY 40734-4536
Mailing address
1019 Cumberland Falls Hwy
Suite B201
Corbin, KY 40701-2735
Phone (606) 526-9005
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100256840 | Medicaid | KY |
Other providers in Gray, KY
- Kathryn Baker
- Hannah Campbell Barger
- Erin Chadwell
- Crystal Ann Cooper
- Angela Eversole
- Freeman Family Practice LLC
- Tammy L Freeman
All providers in Gray, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2015. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.