Ms Keelyn Boles, - Medicare Nurse Practitioner in Chattanooga, TN

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Ms Keelyn Boles, is a medicare enrolled "Nurse Practitioner - Family" in Chattanooga, Tennessee. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Palliative Care Services, Llc and her current practice location is 2030 Hamilton Place Blvd Ste 220, Chattanooga, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 498-3788.

Ms Keelyn Boles is licensed to practice in Tennessee (license number 24190) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790219061.

Contact Information

Ms Keelyn Boles,
2030 Hamilton Place Blvd Ste 220,
Chattanooga, TN 37421-6040
(423) 498-3788
Not Available

Map and Direction




Provider's Profile

Full NameMs Keelyn Boles
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location2030 Hamilton Place Blvd Ste 220, Chattanooga, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Keelyn Boles graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1790219061
  • Provider Enumeration Date: 04/13/2017
  • Last Update Date: 10/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2769733252
  • Enrollment ID: I20180921002642

Medical Identifiers

Medical identifiers for Ms Keelyn Boles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790219061NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 24190 (Tennessee)Primary
363LF0000XNurse Practitioner - Family 198603 (Tennessee)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Palliative Care Services, Llc105258897713

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Keelyn Boles allows following entities to bill medicare on her behalf.
Entity NameAmg-livingston Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699869297
PECOS PAC ID: 1052225760
Enrollment ID: O20031120000923
Entity NameCookeville Regional Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649202102
PECOS PAC ID: 8325092638
Enrollment ID: O20050309000874
Entity NamePalliative Care Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467721183
PECOS PAC ID: 1052588977
Enrollment ID: O20120118000279

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Keelyn Boles is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Keelyn Boles,
2030 Hamilton Place Blvd Ste 220,
Chattanooga, TN 37421-6040

Ph: (423) 498-3788		Ms Keelyn Boles,
2030 Hamilton Place Blvd Ste 220,
Chattanooga, TN 37421-6040

Ph: (423) 498-3788

Reviews and Comments


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Lauren A Fox,
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.