Kellie L Boeggeman is a Irmo, South Carolina based nurse practitioner with 18 years of experience in . She completed her graduation in 2007. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kellie L Boeggeman is APN355 in South Carolina. Her current practice location is 1 Wellness Blvd Ste 106, Irmo. Patients can reach her at 803-888-2282 or can fax her at 803-888-2299. Kellie L Boeggeman is ARNP and her NPI number (Unique professional ID assigned by NPPES) is 1669662086. Kellie L Boeggeman has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kellie L Boeggeman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kellie L Boeggeman
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
ARNP
Experience:
18+ years
Medical School Attended:
Other
Graduation Year:
2007
Accepts Medicare Assignment:
Yes
Practice Address:
1 Wellness Blvd Ste 106, Irmo, South Carolina, 29063-2872
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1254419146
Enrollment ID:
I20081120000854
NPI Number:
1669662086
NPI Enumeration Date:
01 Aug, 2007
NPI Last Update On:
23 Feb, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kellie L Boeggeman are as mentioned below.
License Number
Specialization
State
Status
APN355
South Carolina
Primary
248427
Nurse Practitioner
North Carolina
Secondary
9165739
Family
Florida
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kellie L Boeggeman is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Carolina Cardiology And Vascular Associates Llc (3375899131)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Kellie L Boeggeman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7006413
Medicaid
North Carolina
NP1310
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kellie L Boeggeman 1 Wellness Blvd, Ste 106 Irmo, South Carolina
Zip:
29063-2872
Phone Number:
803-888-2282
Fax Number:
803-888-2299
Patients can reach Kellie L Boeggeman at 1 Wellness Blvd Ste 106, Irmo, South Carolina or can call to book an appointment on 803-888-2282.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.