Individual provider Active NPI

Kalynne Renee Boyles, FNP

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1831868967
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018272 Issued in 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
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95018272 CA Primary

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

412 4th St
Colusa, CA 95932-2602
Phone (707) 732-8679

Other practice location 2

1074 East Ave Ste Q
Chico, CA 95926-1052
Phone (707) 732-8679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230131003703 CA Practitioner - Nurse Practitioner 3577934413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 CorporationGroup PAC ID 4789082561, 10 clinicians

Practice addresses (Care Compare)

1700 W Walnut Ave
Suite a
Visalia, CA 93277-6233
Phone (559) 409-4720

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Mar 16, 2026 Accepting new patients
Jason Roos DO a Professional Medical Corporation CurrentSince Nov 17, 2025 Accepting new patients
Centric Health Current Accepting new patients
Adventist Health Physicians Network CurrentSince Mar 16, 2026 Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients
Reedley Community Hospital 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

1700 W Walnut Ave
#A
Visalia, CA 93277
Phone (559) 409-4720

805 W Acequia Ave
Ste 1B
Visalia, CA 93291
Phone (559) 409-4720

Organizations & group practices 7

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 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": "1631318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1831868967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1139",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021139",
            "telephone_number": "661-371-2796",
            "fax_number": "661-438-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11612 BOLTHOUSE DR STE 110",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118497",
            "telephone_number": "661-654-8338",
            "fax_number": "661-654-8383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 4th St",
            "address_purpose": "LOCATION",
            "city": "Colusa",
            "state": "CA",
            "postal_code": "959322602",
            "country_code": "US",
            "telephone_number": "707-732-8679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1074 East Ave Ste Q",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959261052",
            "country_code": "US",
            "telephone_number": "707-732-8679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLES",
        "first_name": "KALYNNE",
        "middle_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-11",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.