KARRIN BURNADETTE BOYLSTON (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1194411702

KARRIN BURNADETTE BOYLSTON (PMHNP) is a healthcare provider. based in Redford, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 4704317780 (MI). The NPI Number for KARRIN BURNADETTE BOYLSTON (PMHNP) is 1194411702

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KARRIN BURNADETTE BOYLSTON (PMHNP)
NPI
1194411702
Phone
Not provided
Address
14083 PIERCE DR
Enumeration Date
17 April 2023
Last Update Date
25 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2482940539
Graduation Year
2022 (4 years ago)
PAC ID
0143685826
Group Practice PAC ID
3870926397
Professional Enrollment ID
I20230502002671
Address ID
MI480347661SO29877RDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for KARRIN BURNADETTE BOYLSTON (PMHNP)

  • 14083 PIERCE DR

    REDFORD, MI 482393247

    Phone:

    Type: Mailing

  • 20500 EUREKA RD

    TAYLOR, MI 481806332

    Phone: (517) 882-3732

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $503.

Total Amount is formed as General ($503) + Research ($0) + Ownership ($0) = $503.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($297).

Total Amount

$503

General + Research + Ownership

Payments

14

Total payment records

General Amount

$503

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-05-02

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
I20230502002671INurse PractitionerMITBD

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
90833Psychotherapy with evaluation and management visit, 30 minutes3615$0
View full utilization report →

Insurance plans in this area (ZIP 48239)

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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: 3870926397View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Clinical Social WorkerMI
Nurse PractitionerMI
Nurse PractitionerMI
Clinical Social WorkerMI
Nurse PractitionerMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What federal number belongs to KARRIN BURNADETTE BOYLSTON (PMHNP)?
The federal identifier for KARRIN BURNADETTE BOYLSTON (PMHNP) is NPI 1194411702.
Does this profile mean KARRIN BURNADETTE BOYLSTON (PMHNP) is currently active?
Yes — KARRIN BURNADETTE BOYLSTON (PMHNP) appears active in the national provider directory.
What kind of provider is KARRIN BURNADETTE BOYLSTON (PMHNP)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for KARRIN BURNADETTE BOYLSTON (PMHNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for KARRIN BURNADETTE BOYLSTON (PMHNP)?
The page summarizes Redford, Michigan for KARRIN BURNADETTE BOYLSTON (PMHNP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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