Kalynne Renee Boyles, FNP
Individual provider Active NPI Family Nurse Practitioner · Bakersfield, CA
NPI 1831868967 · NPPES record last updated Feb 10, 2025
Key facts
- NPI
- 1831868967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95018272 (CA)
- Practice address
- 11612 Bolthouse Dr Ste 110
Bakersfield, CA 93311-8497 - Phone
- (661) 654-8338
- Fax
- (661) 654-8383
- NPI assigned
- Sep 11, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Jason Roos DO a Professional Medical Corporation
Practice addresses (Care Compare)
1700 W Walnut Ave
Suite a
Visalia, CA 93277-6233
Phone (559) 409-4720
Hospital & facility affiliations
- Adventist Health Bakersfield
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20230131003703 | CA | Practitioner - Nurse Practitioner | 3577934413 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95018272 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centric Health | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current |
Accepting new patients | |
| Jason Roos DO a Professional Medical Corporation | Current |
Accepting new patients | |
| Adventist Health Physicians Network | Current |
Accepting new patients | |
| Adventist Health Heart Institute-Ukiah | Past | Accepting new patients | |
| Adventist Health Physicians Network | Past | Accepting new patients |
Locations
11612 Bolthouse Dr
Ste 110
Bakersfield, CA 93311
Phone (661) 654-8338
2901 Sillect Ave
Ste 100
Bakersfield, CA 93308
Phone (805) 323-8384
1680 E Herndon Ave
Ste 102
Fresno, CA 93720
Phone (559) 401-6058
805 W Acequia Ave
Ste 1B
Visalia, CA 93291
Phone (559) 409-4720
1700 W Walnut Ave
#A
Visalia, CA 93277
Phone (559) 409-4720
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95018272 | CA | Yes |
Addresses
Primary practice location
11612 Bolthouse Dr Ste 110
Bakersfield, CA 93311-8497
Mailing address
PO Box 1139
Bakersfield, CA 93302-1139
Phone (661) 371-2796
Other practice location 1
1074 East Ave Ste Q
Chico, CA 95926-1052
Phone (707) 732-8679
Other practice location 2
412 4th St
Colusa, CA 95932-2602
Phone (707) 732-8679
Other providers in Bakersfield, CA
- Christopher Boyd
- Susan Boyd
- Julie Ann Boyer
- Lorena Boykins
- Felicia Boyle
- Christopher A Boyt
- Alexi Bozarth
- Nicholas Charles Braaten
- Breanna Rae Bracamonte
- Georgiana N Bracamonte
All providers in Bakersfield, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2025. 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.