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Kelly Jo Boyer, NP

NPI 1962462689ActiveIndividual· Nurse Practitioner· Elkhart, IN

Opted out of Medicare from January 2018 to January 2028. Nurse Practitioner (NP) in Elkhart, Indiana, licensed in IN, with an NPI issued in March 2006. Part D covered 87 prescriptions written in 2024, 55% of them generic.

Overview

NPI1962462689
StatusActive
Entity typeIndividual
CredentialNP
Sole proprietorNo
NPI issuedMar 25, 2006
Last updated in NPPESFeb 12, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X71001272AIN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Jan 1, 2018 – Jan 1, 2028
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Part D prescriptions in 2024

Prescriptions (claims)87 · 165 30-day fills
Patients30
Total drug cost$3,407
Generic share55% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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