KELLI JOY BOVENKERK (NP) – Gerontology Nurse Practitioner, NPI 1285184481
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
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Provider Addresses for KELLI JOY BOVENKERK (NP)
PO BOX 3299
CARSON CITY, NV 897023299
Phone: (317) 782-1577
Fax: (317) 780-5538
Type: Mailing
South Emerson Avenue, Bosart-Brown, Near Eastside, Indianapolis, Marion, Indiana, 46203, United States
BUILDING C, SUITE 100
INDIANAPOLIS, IN 46203
Phone: (775) 222-0044
Fax: (888) 700-0187
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: 2016-10-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161013001962 | I | Nurse Practitioner | IN | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 899 | 173 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 294 | 98 | $0 |
| 99497 | Advance care planning, first 30 minutes | 84 | 74 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 67 | 40 | $0 |
| 99316 | Nursing facility discharge management, more than 30 minutes | 39 | 32 | $0 |
Insurance plans in this area (ZIP 89702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Family Practice | NV | |
| Nurse Practitioner | NV | |
| Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Internal Medicine, Geriatric Medicine | NV |
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