NPIMap

Individual provider Active NPI

Kent Boydstun II, MD

  • Family Medicine Physician
  • Mountain View, MO
National Provider Identifier
1669904769
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2026000413 Issued in MO
Practice address
100 W US Highway 60
Mountain View, MO 65548-8542
Phone
(417) 934-7044
NPI assigned
Mar 29, 2017
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2026000413 MO Primary
Emergency Medicine Physician 207P00000X 2026000413 MO

Addresses

Primary practice location

100 W US Highway 60
Mountain View, MO 65548-8542

Mailing address

100 W US Highway 60
Mountain View, MO 65548-8542
Phone (417) 934-7044

Other practice location 1

500 Porter Ave
Aurora, MO 65605-2365
Phone (417) 678-2122

Other practice location 2

94 Main St
Cassville, MO 65625-1610
Phone (417) 847-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, AL, MO3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191125001876 AR Practitioner - Family Practice 7113296278 Reassigns benefits to 1 organization
I20200803000488 AL Practitioner - Family Practice 7113296278 Reassigns benefits to 1 organization
I20260407002335 MO Practitioner - Family PracticePractitioner - Emergency Medicine 7113296278 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Five Rivers Medical Center IncGroup PAC ID 1456540194, 37 clinicians
Mercy Hospital AuroraGroup PAC ID 9436063211, 7 clinicians

Practice addresses (Care Compare)

2801 Medical Ctr Dr
Pocahontas, AR 72455-9436
Phone 87089260006200

500 Porter Ave
Aurora, MO 65605-2365
Phone (417) 678-2122

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2026000413MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HH Physicians Network Family Medicine CurrentSince Aug 1, 2020 Accepting new patients

Locations

401 Lowell Dr SE
Ste 1
Huntsville, AL 35801
Phone (256) 265-4462

401 Lowell Dr SE
Ste 21
Huntsville, AL 35801
Phone (256) 265-4462

1041 Balch Rd
Ste 350
Madison, AL 35758
Phone (256) 265-5951

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 12

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1669904769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W US HIGHWAY 60",
            "city": "MOUNTAIN VIEW",
            "state": "MO",
            "postal_code": "655488542",
            "telephone_number": "417-934-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W US HIGHWAY 60",
            "city": "MOUNTAIN VIEW",
            "state": "MO",
            "postal_code": "655488542",
            "telephone_number": "417-934-7044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Porter Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "MO",
            "postal_code": "656052365",
            "country_code": "US",
            "telephone_number": "417-678-2122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94 Main St",
            "address_purpose": "LOCATION",
            "city": "Cassville",
            "state": "MO",
            "postal_code": "656251610",
            "country_code": "US",
            "telephone_number": "417-847-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYDSTUN",
        "first_name": "KENT",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2026000413",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2026000413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, MO

Sources for this page

Verify at the official NPI Registry.