Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kellie Boeggeman Dearden, ARNP

Individual provider Nurse Practitioner · NPI 1669662086

Kellie Boeggeman Dearden, ARNP is a Nurse Practitioner in New York, New York. Qualified in 2007, 19 years ago. Practices with Dr Rebman Medical PA, a 88-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida, North Carolina and South Carolina.

Years since qualifying
19
Licensed in
FL, NC, SC
In the registry since
2007
Specialties on file
3
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

885 3rd Ave Fl 28
New York, NY 10022-4834
Phone: (929) 650-3990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APN355 (SC)
Nurse Practitioner Taxonomy 363L00000X · Licence 248427 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 9165739 (FL)

Record details

NPI number1669662086
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedAugust 1, 2007
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Dr Rebman Medical Pa — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

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