Question 1

What type of a medical provider is Kellie L Boeggeman?

Accepted Answer

Kellie L Boeggeman is a Nurse Practitioner.

Question 2

Where does Kellie L Boeggeman practice medicine?

Accepted Answer

Kellie L Boeggeman has the following practice address:1 WELLNESS BLVD STE 106, IRMO, SC 29063-2872

Question 3

Does this provider have a license number?

Accepted Answer

Kellie L Boeggeman has 3 license numbers, including: License Number 248427 issued in North Carolina.

Question 4

Does Kellie L Boeggeman accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Kellie L Boeggeman have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Kellie L Boeggeman a member of any Medical Groups?

Accepted Answer

Kellie L Boeggeman is affiliated with one medical group in the IRMO area, CAROLINA CARDIOLOGY AND VASCULAR ASSOCIATES LLC.

Question 7

Does Kellie L Boeggeman participate in PECOS?

Accepted Answer

Yes, Kellie L Boeggeman participates in PECOS.

Question 8

What phone number can I call to contact Kellie L Boeggeman?

Accepted Answer

You can call the following number: (803)-888-2282

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Kellie L Boeggeman.

Question 10

Is Kellie L Boeggeman  affiliated with any hospitals?

Accepted Answer

The provider is affiliated with the following hospital: PRISMA HEALTH RICHLAND HOSPITAL

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 4 years ago (2/23/2021).

Type/Issuer	Identifier	State
MEDICAID	7006413	NC
MEDICAID	NP1310	SC

Taxonomy	State	Primary?
Nurse Practitioner - Taxonomy Code 363L00000X	SC	Y
Nurse Practitioner - Taxonomy Code 363L00000X	NC	N
Nurse Practitioner (Family) - Taxonomy Code 363LF0000X	FL	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20081120000854
PECOS Individual PAC ID:	1254419146
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Kellie L Boeggeman

Overview