Kevin Bogue, NURSE PRACTITIONER
NPI 1124410303 · Adult Health Nurse Practitioner · New York, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Bogue, NURSE PRACTITIONER is a Adult Health Nurse Practitioner provider in New York, NY (NPI 1124410303).
Provider details
- NPI number
- 1124410303
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Male
- Sole proprietor
- Yes
- License
- 307208 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-02-25
- Last updated
- 2016-02-05
Frequently asked questions
- What is Kevin Bogue's NPI number?
- Kevin Bogue's National Provider Identifier (NPI) is 1124410303, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Bogue's specialty?
- Kevin Bogue is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kevin Bogue located?
- Kevin Bogue's practice location on file with NPPES is 1 Penn Plz, New York, NY 10119-0002.
- What is Kevin Bogue's phone number?
- The practice phone number listed in the NPPES registry for Kevin Bogue is (646) 771-2206.
- Does Kevin Bogue accept Medicare?
- Kevin Bogue is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Bogue's NPI active?
- Yes — Kevin Bogue's NPI (1124410303) is active in the NPPES registry as of the last update on 2016-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.