JUSTIN WILLIAM BOYER (FNP-BC) – Nurse Practitioner, NPI 1336841626

JUSTIN WILLIAM BOYER (FNP-BC) is a healthcare provider. based in Grayson, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 3019015 (KY). The NPI Number for JUSTIN WILLIAM BOYER (FNP-BC) is 1336841626

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN WILLIAM BOYER (FNP-BC)
NPI
1336841626
Phone
(606) 474-7835
Address
250 McDavid Blvd
Enumeration Date
20 March 2023
Last Update Date
9 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6064747835
Graduation Year
2022 (4 years ago)
PAC ID
4688033749
Group Practice PAC ID
7719882521
Professional Enrollment ID
I20230707000575
Address ID
KY411431603GR250XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for JUSTIN WILLIAM BOYER (FNP-BC)

  • 250 McDavid Blvd

    Grayson, KY 411431603

    Phone: (606) 474-7835

    Fax: (606) 474-8114

    Type: Location

  • 100 Wurtland Ave

    Greenup, KY 411441445

    Phone: (606) 836-0931

    Fax: (606) 833-5605

    Type: Location

  • PO BOX 1595

    ASHLAND, KY 411051595

    Phone: (606) 408-6200

    Fax: (606) 408-6612

    Type: Mailing

  • KING'S DAUGHTERS MEDICAL CENTER

    12100 PRINCELAND

    ASHLAND, KY 41102

    Phone: (606) 928-2963

    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: 2023-07-07

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
I20230707000575INurse 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 41143)

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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: 7719882521View full group profile

Reviews

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Frequently asked questions

Can I cross-check JUSTIN WILLIAM BOYER (FNP-BC) using NPI 1336841626?
NPI 1336841626 belongs to JUSTIN WILLIAM BOYER (FNP-BC); compare other details if you need extra assurance.
Would JUSTIN WILLIAM BOYER (FNP-BC) appear as active to a payer?
You can treat JUSTIN WILLIAM BOYER (FNP-BC) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with JUSTIN WILLIAM BOYER (FNP-BC)?
JUSTIN WILLIAM BOYER (FNP-BC)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with JUSTIN WILLIAM BOYER (FNP-BC)?
Directory geography for JUSTIN WILLIAM BOYER (FNP-BC) centers on Grayson, Kentucky.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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