Kelly Board, APRN, NP-C - Medicare Nurse Practitioner in Atlanta, GA

Kelly Board, APRN, NP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Atlanta, Georgia. Her current practice location is 1055 Howell Mill Rd Nw, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (866) 849-0692.

Kelly Board is licensed to practice in Michigan (license number 4704272053) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649719915.

Contact Information

Kelly Board, APRN, NP-C
1055 Howell Mill Rd Nw,
Atlanta, GA 30318-5557
(866) 849-0692
(888) 973-8821

Map and Direction




Provider's Profile

Full NameKelly Board
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location1055 Howell Mill Rd Nw, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649719915
  • Provider Enumeration Date: 02/19/2017
  • Last Update Date: 11/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4789930645
  • Enrollment ID: I20180706001295

Medical Identifiers

Medical identifiers for Kelly Board such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649719915NPI-NPPES
024999700MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 209028496 (Illinois)Secondary
363LA2200XNurse Practitioner - Adult Health CAPN.0101629 (Colorado)Secondary
363LA2200XNurse Practitioner - Adult Health 303204 (Arizona)Secondary
363LA2200XNurse Practitioner - Adult Health 1102491 (Texas)Secondary
363LA2200XNurse Practitioner - Adult Health GAA-NP003047 (Georgia)Secondary
363LA2200XNurse Practitioner - Adult Health 0024194779 (Virginia)Secondary
363LA2200XNurse Practitioner - Adult Health 37319 (Tennessee)Secondary
363LA2200XNurse Practitioner - Adult Health 0033314 (Ohio)Secondary
363LA2200XNurse Practitioner - Adult Health 4704272053 (Michigan)Primary
363LA2200XNurse Practitioner - Adult Health 244045 (Louisiana)Secondary
363LA2200XNurse Practitioner - Adult Health APRN9482729 (Florida)Secondary
363LA2200XNurse Practitioner - Adult Health 5018989 (North Carolina)Secondary
363LA2200XNurse Practitioner - Adult Health 29709 (South Carolina)Secondary

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. Kelly Board allows following entities to bill medicare on her behalf.
Entity NameDevoted Medical Group Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245838168
PECOS PAC ID: 3072902816
Enrollment ID: O20220815001105

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. Kelly Board 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
Kelly Board, APRN, NP-C
Po Box 211699,
Eagan, MN 55121-3699

Ph: (866) 849-0692
Kelly Board, APRN, NP-C
1055 Howell Mill Rd Nw,
Atlanta, GA 30318-5557

Ph: (866) 849-0692

Reviews and Comments


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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.