Active NPI
Kathleen Mary Bovee, NP
- Gerontology Nurse Practitioner
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 11020385
- Practice address
- 6300 N Wickham Rd Ste 132a
Melbourne, FL 32940-2023 - Phone
- (321) 253-4032
- Fax
- (321) 253-4125
- NPI assigned
- Aug 17, 2006
- Last updated
- Jul 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 340436-1 | NY | |
| Gerontology Nurse Practitioner | 363LG0600X | R218354 | MD | |
| Gerontology Nurse Practitioner | 363LG0600X | 11 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | 11020385 | FL | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 340436 | NY | |
| Registered Nurse | 163W00000X | 482629-1 | NY |
Addresses
Primary practice location
6300 N Wickham Rd Ste 132a
Melbourne, FL 32940-2023
Mailing address
1344 S Apollo Blvd Ste 406
Melbourne, FL 32901-3185
Phone (321) 727-2990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 482629-1 | NY | MD | Registered Nurse |
| 11 | FL | MD | Gerontology Nurse Practitioner |
| 11020385 | FL | MD | Gerontology Nurse Practitioner |
| 340436 | NY | MD | Gerontology Nurse Practitioner |
| 340436-1 | NY | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Healthcare, Inc | Current | Accepting new patients | |
| Omni Healthcare, Inc. | Current | Accepting new patients | |
| Elyaman Medical Services PA | Gerontology | Current | Accepting new patients |
| University of Maryland Surgcial Assoc PA | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1344 S Apollo Blvd
Ste 406
Melbourne, FL 32901
Phone (321) 253-4032
6300 N Wickham Rd
Ste 132A
Melbourne, FL 32940
Phone (321) 253-4032
6041 SW 54th St
Ste 200
Ocala, FL 34474
Phone (352) 857-8417
6100 Minton Rd NW
Ste 104
Palm Bay, FL 32907
Phone (321) 724-1172
Interoperability endpoints
- kathleenbovee@ohi.allscriptsdirect.net
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.
-
dba Absolute Elder Care
- Family Medicine Physician
- Ocala, FL
- NPI 1609251685
Gerontology
-
- Specialist
- Melbourne, FL
- NPI 1134191323
-
dba Atlantis Diagnostics
- Diagnostic Radiology Physician
- Melbourne, FL
- NPI 1053382457
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba University of Maryland Urological Surgery Center
- Ambulatory Surgical Clinic/Center
- Baltimore, MD
- NPI 1083624225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1942314265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1344 S APOLLO BLVD STE 406",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013185",
"telephone_number": "321-727-2990",
"fax_number": "321-724-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 N WICKHAM RD STE 132A",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329402023",
"telephone_number": "321-253-4032",
"fax_number": "321-253-4125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOVEE",
"first_name": "KATHLEEN",
"middle_name": "MARY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "340436-1",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MD",
"license": "R218354",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "11",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "11020385",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "340436",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "482629-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.