Active NPI
Danielle Boley, PAC
- Physician Assistant
- Rocky Hill, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1111 Cromwell Ave
Rocky Hill, CT 06067-3449 - Phone
- (860) 525-4469
- NPI assigned
- Jul 12, 2016
- Last updated
- Mar 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1111 Cromwell Ave
Rocky Hill, CT 06067-3449
Mailing address
62 Rosewood Dr
Glastonbury, CT 06033-1647
Phone (774) 230-2500
Other practice location 1
512 Saybrook Rd
100
Middletown, CT 06457-4788
Phone (860) 704-6021
Other practice location 2
810 Mitchell Ave
Salisbury, NC 28144
Phone (704) 216-5633
Other practice location 3
810 Mitchell Ave
Salisbury, NC 28144
Phone (704) 216-5633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Cromwell Ave
Suite 404
Rocky Hill, CT 06067-3455
Phone (860) 525-4469
277 Middle Tpke W
Manchester, CT 06040-3834
Phone (860) 432-4640
31 Ensign Dr
Avon, CT 06001-3773
Phone (860) 525-4469
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3614 | CT | MD | Respiratory/Developmental/Rehabilitative Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Surgical Partners, PC | Current | Accepting new patients | |
| Orthopedic Surgical Partners, P.C. | Physician Assistant | Current | Accepting new patients |
Locations
31 Ensign Dr
Avon, CT 06001
Phone (860) 409-9125
277 Middle Tpke W
Manchester, CT 06040
Phone (860) 432-4640
1111 Cromwell Ave
Ste 403
Rocky Hill, CT 06067
1111 Cromwell Ave
Ste 404
Rocky Hill, CT 06067
Phone 8605254469112
5 Founders St
Ste 202
Willimantic, CT 06226
Phone (860) 456-3997
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Rocky Hill, CT
- NPI 1710017439
Physician Assistant
-
- Orthopaedic Surgery Physician
- Enfield, CT
- NPI 1528672722
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647734400000",
"number": "1134571284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 ROSEWOOD DR",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060331647",
"telephone_number": "774-230-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 CROMWELL AVE",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "060673449",
"telephone_number": "860-525-4469"
}
],
"practiceLocations": [
{
"address_1": "512 Saybrook Rd",
"address_2": "100",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "CT",
"postal_code": "064574788",
"country_code": "US",
"telephone_number": "860-704-6021",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "810 Mitchell Ave",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "NC",
"postal_code": "28144",
"country_code": "US",
"telephone_number": "704-216-5633",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "810 Mitchell Ave",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "NC",
"postal_code": "28144",
"country_code": "US",
"telephone_number": "704-216-5633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOLEY",
"first_name": "DANIELLE",
"credential": "PAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-12",
"last_updated": "2022-03-20",
"certification_date": "2022-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Hill, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.