KATIE LYNNE STYKE BOSLOOPER (PA) – Physician Assistant, NPI 1003289612

KATIE LYNNE STYKE BOSLOOPER (PA) is a healthcare provider. based in Johnson city, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2866 (TN). The NPI Number for KATIE LYNNE STYKE BOSLOOPER (PA) is 1003289612

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KATIE LYNNE STYKE BOSLOOPER (PA)
NPI
1003289612
Phone
(423) 302-6565
Address
1021 W OAKLAND AVE STE 310
Enumeration Date
4 November 2015
Last Update Date
7 March 2025

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
6800196130
Group Practice PAC ID
9739099441
Professional Enrollment ID
I20151118001572
Address ID
TN376432896EL1497XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for KATIE LYNNE STYKE BOSLOOPER (PA)

  • 1021 W OAKLAND AVE STE 310

    JOHNSON CITY, TN 376042192

    Phone: (423) 302-6565

    Type: Mailing

  • 1420 TUSCULUM BLVD

    GREENEVILLE, TN 377454279

    Phone: (423) 787-5000

    Type: Location

  • 1225 E WEISGARBER RD

    SUITE 200

    KNOXVILLE, TN 379092604

    Phone: (865) 584-4747

    Fax: (865) 584-1363

    Type: Mailing

  • 2240 SUTHERLAND AVE

    SUITE 104

    KNOXVILLE, TN 379192333

    Phone: (865) 909-0090

    Fax: (865) 909-9883

    Type: Location

  • 2240 Sutherland Ave

    Suite 104

    Knoxville, TN 379192333

    Phone: (865) 909-0090

    Fax: (865) 909-9883

    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: 2015-11-18

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
I20151118001572IPhysician AssistantTNTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes138127$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes123119$0
99238Hospital discharge day management, 30 minutes or less1414$0
View full utilization report →

Insurance plans in this area (ZIP 37604)

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Provider's Procedures

KATIE LYNNE STYKE BOSLOOPER (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTTN81002Urinalysis, manual test1514

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: 9739099441View full group profile

Reviews

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Frequently asked questions

Can I verify KATIE LYNNE STYKE BOSLOOPER (PA) with an NPI only?
You can start verification with NPI 1003289612 for KATIE LYNNE STYKE BOSLOOPER (PA), then check state licensing separately.
Is KATIE LYNNE STYKE BOSLOOPER (PA) still practicing?
KATIE LYNNE STYKE BOSLOOPER (PA) is currently listed as active in the public NPI registry.
What healthcare role does KATIE LYNNE STYKE BOSLOOPER (PA) hold?
Scheduling teams often label KATIE LYNNE STYKE BOSLOOPER (PA) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is KATIE LYNNE STYKE BOSLOOPER (PA) based?
KATIE LYNNE STYKE BOSLOOPER (PA) is tied to Johnson City, Tennessee in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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