Individual provider Active NPI

Rebecca Boyle, CNP

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1316489800
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.019861 Issued in OH
Practice address
3121 W Broad St
Columbus, OH 43204-1306
Phone
(614) 869-2002
NPI assigned
Nov 15, 2016
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.019861 OH Primary

Addresses

Primary practice location

3121 W Broad St
Columbus, OH 43204-1306

Mailing address

3121 W Broad St
Columbus, OH 43204-1306
Phone (614) 869-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20171114000891 OH Practitioner - Nurse Practitioner 8426314121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Buckeye ClinicGroup PAC ID 7810237666, 11 clinicians

Practice addresses (Care Compare)

3121 W Broad St
Columbus, OH 43204-1306
Phone (614) 534-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science

State licenses

LicenseStateTypeSpecialty
APRN.CNP.019861OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Buckeye Clinic CurrentSince Dec 17, 2023 Accepting new patients
Buckeye Clinic CurrentSince Dec 17, 2023 Accepting new patients
Buckeye Clinic Current Accepting new patients

Locations

3121 W Broad St
Columbus, OH 43204
Phone (614) 274-6100

40 S James Rd
Columbus, OH 43213
Phone (614) 416-0294

6805 Avery Muirfield Dr
Ste 103
Dublin, OH 43016
Phone (614) 534-1100

231 Lafayette St
London, OH 43140
Phone (614) 202-6297

231 Lafayette St
Ste E
London, OH 43140
Phone (614) 792-6242

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1316489800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041306",
            "telephone_number": "614-869-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041306",
            "telephone_number": "614-869-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "REBECCA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.019861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.