KELLY BOUIE – Family Nurse Practitioner, NPI 1023561537
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
22,440 NURSE PRACTITIONER in TX
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Provider Addresses for KELLY BOUIE
1203 BALDWIN CIR
HOLLY, MI 484429369
Phone: (248) 343-1767
Type: Mailing
Regent Boulevard, Irving, Dallas County, Texas, 75063, United States
IRVING, TX 750635806
Phone: (214) 689-8079
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 97 Open Payments records for all available years, with a total value of $2,168.
Total Amount is formed as General ($2,168) + Research ($0) + Ownership ($0) = $2,168.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($496).
Total Amount
$2,168
General + Research + Ownership
Payments
97
Total payment records
General Amount
$2,168
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $496 |
| Indivior Inc. | $384 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $167 |
| Alkermes, Inc. | $163 |
| Janssen Pharmaceuticals, Inc | $162 |
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: 2016-10-26
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161026001628 | I | Nurse Practitioner | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 30 | 18 | $0 |
Insurance plans in this area (ZIP 48442)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Nurse Practitioner | MI | |
| Clinical Social Worker | MI | |
| P S Y C H I A T R Y | MI | |
| - | MI | |
| P S Y C H I A T R Y | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Nurse Practitioner | KY |
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