Individual provider Active NPI

Kayla Grace Bosco, NP

  • Family Nurse Practitioner
  • Pascagoula, MS
National Provider Identifier
1972109429
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904312 Issued in MS
Practice address
2819 Denny Ave
Pascagoula, MS 39581-5301
Phone
(228) 762-3466
NPI assigned
Dec 9, 2020
Last updated
May 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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 904312 MS Primary

Addresses

Primary practice location

2819 Denny Ave
Pascagoula, MS 39581-5301

Mailing address

4205 Bentz CT
Pascagoula, MS 39581-2306
Phone (228) 627-8345

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kayla.bosco@mysrhs.com Health Information Exchange (HIE)
Direct Messaging Address kbosco@direct.mysrhs.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20210114002160 MS Practitioner - Nurse Practitioner 1355754169 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians
Complete Health Urgicare, IncGroup PAC ID 6709008659, 8 clinicians

Practice addresses (Care Compare)

2819 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 762-3466

4211 Hospital St
Suite 101
Pascagoula, MS 39581-5310
Phone (228) 471-2273

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
904312MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System CurrentSince Dec 17, 2020 Accepting new patients
Complete Health Urgicare, Inc CurrentSince Jun 30, 2025 Accepting new patients
Singing River Gulfport CurrentSince Dec 23, 2020 Accepting new patients
Singing River Health System Past Accepting new patients

Locations

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

3099 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-2403

2819 Denny Ave
Pascagoula, MS 39581
Phone (228) 762-3466

4211 Hospital St
Ste 101
Pascagoula, MS 39581
Phone (228) 332-0128

Organizations & group practices 4

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 2

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": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1972109429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BENTZ CT",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395812306",
            "telephone_number": "228-627-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815301",
            "telephone_number": "228-762-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCO",
        "first_name": "KAYLA",
        "middle_name": "GRACE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kayla.bosco@mysrhs.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2819 Denny Ave",
            "city": "Pascagoula",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395815301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbosco@direct.mysrhs.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2819 Denny Ave",
            "city": "Pascagoula",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395815301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.