KELLEY BOSTER, MS — NPI 1538739305 (Licensed & Credentialed Genetic Counselor, MS in MOUNT PLEASANT, WI)

CMS-1500 Box 24J / 33a • NPI

1538739305

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

170300000X

Licensed & Credentialed Genetic Counselor, MS

Box 32 Service Location & ZIP+4

3809 SPRING ST, MOUNT PLEASANT, WI, 53405-1667

✓ 9-Digit EDI 837 ZIP+4 (53405-1667)

Practice Phone & Referral Fax

(262) 687-5000

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1538739305 (KELLEY BOSTER, MS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1538739305` (NPI-1 Individual Practitioner)
Provider / Legal Name	KELLEY BOSTER, MS
Plain-English Specialty	Licensed & Credentialed Genetic Counselor, MS NUCC Code: `170300000X` (Genetic Counselor, MS)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3809 SPRING ST, MOUNT PLEASANT, WI, 53405-1667
Practice Telephone / Fax	Tel: (262) 687-5000
Administrative Mailing Address	877 BROCKWAY DR, MUKWONAGO, WI, 53149-5610
Enumeration & Last Sync	Enumerated: 2021-06-25 \| CMS Record Updated: 2023-09-12

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3809 SPRING ST, MOUNT PLEASANT, WI, 53405-1667

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Plain-English Taxonomy & CMS Crosswalk (170300000X)

What Does Taxonomy Code 170300000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 170300000X translates to:
"Licensed & Credentialed Genetic Counselor, MS"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Genetic Counselor, MS for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KELLEY BOSTER, MS)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`170300000X` — Genetic Counselor, MS Plain English: Licensed & Credentialed Genetic Counselor, MS	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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KELLEY BOSTER, MS (NPI #1538739305)