KRISTEN MICHELLE BOGUE (FNP-C) – Family Nurse Practitioner, NPI 1053889113

KRISTEN MICHELLE BOGUE (FNP-C) is a healthcare provider. based in Winchester, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 71008668A (IN). The NPI Number for KRISTEN MICHELLE BOGUE (FNP-C) is 1053889113

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN MICHELLE BOGUE (FNP-C)
NPI
1053889113
Phone
(765) 305-0008
Address
910 E Washingon Street Suite 2
Enumeration Date
7 November 2018
Last Update Date
15 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7659646200
Graduation Year
2018 (8 years ago)
PAC ID
9335536598
Group Practice PAC ID
7012047640
Professional Enrollment ID
I20220419000756
Address ID
IN473901039UN330XXRDXX400

Contacts

Secure Messaging
kristen.bogue.1@7598.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

8,191 NURSE PRACTITIONER in IN

Provider Addresses for KRISTEN MICHELLE BOGUE (FNP-C)

  • 910 E Washingon Street Suite 2

    Winchester, IN 47394

    Phone: (765) 305-0008

    Fax: (765) 305-0011

    Type: Location

  • 910 E WASHINGON STREET SUITE 2

    WINCHESTER, IN 47394

    Phone: (765) 305-0008

    Fax: (765) 305-0011

    Type: Location

  • W, Town of Winchester, Vilas County, Wisconsin, United States

    WINCHESTER, IN 473948908

    Phone:

    Type: Mailing

  • 330 W DEERFIELD RD

    UNION CITY, IN 473901039

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-04-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220419000756INurse PractitionerINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level2514$0
81003Automated urinalysis test1816$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1212$0
View full utilization report →

Insurance plans in this area (ZIP 47394)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012047640View full group profile
NameSpecialtyState
Nurse PractitionerIN
-IN
Pulmonary Disease, Critical Care (Intensivists)IN
General Surgery, Thoracic SurgeryIN
-IN
-NY
Interventional RadiologyIN
-IN
G A S T R O E N T E R O L O G YTX
Nurse PractitionerIN

Reviews

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Frequently asked questions

What federal number belongs to KRISTEN MICHELLE BOGUE (FNP-C)?
The federal identifier for KRISTEN MICHELLE BOGUE (FNP-C) is NPI 1053889113.
Is KRISTEN MICHELLE BOGUE (FNP-C)'s NPI currently valid?
The extract we use shows KRISTEN MICHELLE BOGUE (FNP-C) as active.
What does KRISTEN MICHELLE BOGUE (FNP-C) treat or focus on?
Patients typically see KRISTEN MICHELLE BOGUE (FNP-C) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KRISTEN MICHELLE BOGUE (FNP-C)'s primary listing?
We display Winchester, Indiana because that is what the record indicates for KRISTEN MICHELLE BOGUE (FNP-C).
How can I contact KRISTEN MICHELLE BOGUE (FNP-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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