KRISTIE RENEE BOSWELL – Family Nurse Practitioner, NPI 1467111419

KRISTIE RENEE BOSWELL is a healthcare provider. based in Wichita falls, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 977873 (TX). The NPI Number for KRISTIE RENEE BOSWELL is 1467111419

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIE RENEE BOSWELL
NPI
1467111419
Phone
Not provided
Address
4921 BAYBERRY DR APT SUITE
Enumeration Date
16 December 2021
Last Update Date
3 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
9133590243
Group Practice PAC ID
6507769494
Professional Enrollment ID
I20230128000378
Address ID
TX763603221El1207XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KRISTIE RENEE BOSWELL

  • 4921 BAYBERRY DR APT SUITE

    WICHITA FALLS, TX 763103447

    Phone:

    Type: Mailing

  • 4921 BAYBERRY DR

    WICHITA FALLS, TX 763103447

    Phone: (940) 782-7228

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $2,863.

Total Amount is formed as General ($2,863) + Research ($0) + Ownership ($0) = $2,863.

Last reported payment date: 2024-04-05 • Largest payer in this snapshot: Gilead Sciences, Inc. ($2,805).

Total Amount

$2,863

General + Research + Ownership

Payments

10

Total payment records

General Amount

$2,863

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-05

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: 2023-01-28

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
I20230128000378INurse PractitionerTXTBD

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 76310)

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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: 6507769494View full group profile

Reviews

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Frequently asked questions

What number should I use to identify KRISTIE RENEE BOSWELL for billing?
Administrative and clinical systems typically use NPI 1467111419 for KRISTIE RENEE BOSWELL.
Is KRISTIE RENEE BOSWELL's NPI status active today?
Active status means KRISTIE RENEE BOSWELL's NPI record is not deactivated in the public file.
What services align with KRISTIE RENEE BOSWELL's listing?
KRISTIE RENEE BOSWELL's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KRISTIE RENEE BOSWELL tied to Wichita Falls, Texas?
If you are local to Wichita Falls, Texas, KRISTIE RENEE BOSWELL may be relevant to your search.
Why is information missing for KRISTIE RENEE BOSWELL?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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