Individual provider Active NPI

Rebecca Ann Boatman

  • Family Nurse Practitioner
  • West Chester, OH
National Provider Identifier
1508326042
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024434 Issued in OH
Practice address
7345 Kingsgate Way
West Chester, OH 45069-2453
Phone
(513) 777-1333
NPI assigned
Mar 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.386939 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.024434 OH Primary

Addresses

Primary practice location

7345 Kingsgate Way
West Chester, OH 45069-2453

Mailing address

528 French Run CT
Lebanon, OH 45036-1492
Phone (513) 491-0805

Other names 1

  • Rebecca Ann Kilker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190410002534 OH Practitioner - Nurse Practitioner 6608117122 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mvhe IncGroup PAC ID 9537066584, 399 clinicians

Practice addresses (Care Compare)

1715 Brown St
Dayton, OH 45409-2502

2451 Wayne Ave
Dayton, OH 45420-1893
Phone (937) 252-1831

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
83.64
Promoting interoperability
100
Improvement activities
40
Cost
73.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.386939OHMDRegistered Nurse
APRN.CNP.024434OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc Current Accepting new patients
Samaritan Family Care Inc CurrentSince Oct 26, 2020 Accepting new patients
CG Medical Associates Inc CurrentSince Apr 1, 2019 Accepting new patients
Mvhe Inc CurrentSince Oct 26, 2020 Accepting new patients
Mvhe Inc CurrentSince Oct 26, 2020 Accepting new patients

Locations

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

1530 Needmore Rd
Ste 200
Dayton, OH 45414
Phone (937) 278-5854

1715 Brown St
#200
Dayton, OH 45409
Phone (937) 208-9010

1715 Brown St
#300
Dayton, OH 45409
Phone (937) 208-9010

7111 N Main St
Ste 10
Dayton, OH 45415
Phone (937) 274-2733

10582 Loveland Madeira Rd
Loveland, OH 45140
Phone (513) 531-1505

7345 Kingsgate Way
West Chester, OH 45069
Phone (513) 777-1333

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 and National Provider Directory roles.

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1508326042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 FRENCH RUN CT",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361492",
            "telephone_number": "513-491-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 KINGSGATE WAY",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692453",
            "telephone_number": "513-777-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATMAN",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.386939",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "KILKER",
            "middle_name": "ANN",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.