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

Kelly Bouie

Individual provider Nurse Practitioner · NPI 1023561537

Kelly Bouie is a Nurse Practitioner in Irving, Texas. Qualified in 2015, 11 years ago. Practices with Easterseals Morc Health Care, Inc, a 127-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2016
Specialties on file
2

Practice location Address checks out

3050 Regent Blvd Ste 200
Irving, TX 75063-5806
Phone: (214) 689-8079
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2016013730 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704242969 (MI)

Record details

NPI number1023561537
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 1, 2016
Last updated in NPPESAugust 1, 2022
Certification dateAugust 1, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Easterseals Morc Health Care, Inc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Irving