HERMYS YANES BOZA (APRN) – Family Nurse Practitioner, NPI 1013543958

HERMYS YANES BOZA (APRN) is a healthcare provider. based in Louisville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 30144481 (KY). The NPI Number for HERMYS YANES BOZA (APRN) is 1013543958

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
HERMYS YANES BOZA (APRN)
NPI
1013543958
Phone
(502) 588-4450
Address
401 E CHESTNUT ST UNIT 600
Enumeration Date
22 March 2020
Last Update Date
15 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5028525875
Graduation Year
2019 (7 years ago)
PAC ID
0648600866
Group Practice PAC ID
3476725599
Professional Enrollment ID
I20200430000415
Address ID
KY402021675LO530XXSTXX456
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for HERMYS YANES BOZA (APRN)

  • 401 E CHESTNUT ST UNIT 600

    LOUISVILLE, KY 402025705

    Phone: (502) 588-4450

    Type: Mailing

  • 530 S JACKSON ST

    LOUISVILLE, KY 402021675

    Phone: (502) 562-3000

    Type: Location

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: 2020-04-30

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
I20200430000415INurse PractitionerKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40202)

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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: 3476725599View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Diagnostic RadiologyVA
Diagnostic RadiologyKY
-KY
-KY
Certified Registered Nurse Anesthetist (Crna)TN
O P H T H A L M O L O G YKY
Certified Registered Nurse Anesthetist (Crna)KY
-KY

Reviews

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Frequently asked questions

What is the standard ID for HERMYS YANES BOZA (APRN) in the U.S.?
In the U.S., HERMYS YANES BOZA (APRN) is identified by NPI 1013543958.
Quick check: is HERMYS YANES BOZA (APRN) active?
Public NPPES data shows HERMYS YANES BOZA (APRN) with an active NPI status right now.
What type of care does HERMYS YANES BOZA (APRN) provide?
HERMYS YANES BOZA (APRN)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to HERMYS YANES BOZA (APRN)?
HERMYS YANES BOZA (APRN) shows a connection to Louisville, Kentucky in registry-derived data.
Can I export HERMYS YANES BOZA (APRN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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