Marlissa Boyles, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.013074 Issued in IL

Practice address

405 S Whittle Ave
Olney, IL 62450-2262

Phone

(618) 364-1009

NPI assigned

Aug 31, 2015

Last updated

Dec 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wabash General Hospital DistrictGroup PAC ID 8022908185, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189
• Carle Richland Memorial Hospital Hospital, Olney, IL, CCN 141355
• Wabash General Hospital 1 Hospital, Mount Carmel, IL, CCN 141327

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10239/brand/1/csg/1/fhir/r4

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.

• Thrive Healthcare Center L L C

  • Family Nurse Practitioner
  • Olney, IL
  • NPI 1477368942
  Medicare reassignment NPD Authorized official
• Wabash General Hospital District

  • General Practice Physician
  • Mount Carmel, IL
  • NPI 1295834208
  Medicare reassignment Care Compare group NPD
• Market Street Medical, LLC

  • Clinic/Center
  • Olney, IL
  • NPI 1831596733
  Medicare reassignment NPD
• Wabash General Hospital District

  dba Wabash Community Healht Center Counseling

  • Federally Qualified Health Center (FQHC)
  • Mount Carmel, IL
  • NPI 1922645910
  NPD
• Wabash General Hospital District

  • Critical Access Hospital
  • Mount Carmel, IL
  • NPI 1194728808
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Richland Memorial Hospital, Inc

  dba Carle Richland Memorial Hospital

  • Critical Access Hospital
  • Olney, IL
  • NPI 1467492124
  Care Compare affiliation
• Sarah Bush Lincoln Health Center

  • General Acute Care Hospital
  • Mattoon, IL
  • NPI 1669564662
  Care Compare affiliation
• Wabash General Hospital District

  • Critical Access Hospital
  • Mount Carmel, IL
  • NPI 1194728808
  Care Compare affiliation
• Wabash General Hospital District

  • Ambulance
  • Mount Carmel, IL
  • NPI 1194814178

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1316314933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S WHITTLE AVE",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502262",
            "telephone_number": "618-364-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S WHITTLE AVE",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502262",
            "telephone_number": "618-364-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLES",
        "first_name": "MARLISSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.013074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Duane Blank, P.T.
• Makayla Bogard, NP-C
• Emil Borowiak, PHARMD
• Marissa Bower, PHARMD
• Bowers Drug Store Inc
• Brad McMillin, Inc (Beltone Hearing Aid Service)
• Bradley Houston M.D.
• Bridgeance Corp
• Herbert Herman Brokhof, D.D.S.
• Brookstone Estates of Olney

• Family Nurse Practitioner in Olney, IL
• Providers in Olney, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.

Verify at the official NPI Registry.