Individual provider Active NPI

Condoda D Smith-Boyle, MSN, CRNP

  • Nurse Practitioner
  • York, PA
National Provider Identifier
1376531848
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP001678C Issued in PA
Practice address
1620 S Queen St
York, PA 17403-4637
Phone
(717) 843-6663
NPI assigned
Oct 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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 SP001678C PA Primary

Addresses

Primary practice location

1620 S Queen St
York, PA 17403-4637

Mailing address

9800 Shelbyville Rd Ste 220
Louisville, KY 40223-2992
Phone (502) 429-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090604000204 PA Practitioner - Nurse Practitioner 1658421193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PSF PLLCGroup PAC ID 1557265543, 98 clinicians

Practice addresses (Care Compare)

1620 S Queen St
2 Family Allergy and Asthma
York, PA 17403-4637
Phone (800) 999-1249

Merit-based Incentive Payment System (MIPS)

Final score
84.25 of 100Reported as group
Quality
86.03
Promoting interoperability
86
Improvement activities
40
Cost
73.15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PSF PLLC Nurse Practitioner CurrentSince Aug 9, 2021 Accepting new patients

Locations

9800 Shelbyville Rd
Ste 220
Louisville, KY 40223
Phone (502) 429-8585

420 W Elm Ave
Ste 2
Hanover, PA 17331

1620 S Queen St
York, PA 17403
Phone (717) 843-6663

1620 S Queen St
Ste 2
York, PA 17403
Phone (717) 843-6663

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1376531848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232992",
            "telephone_number": "502-429-8585",
            "fax_number": "855-656-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034637",
            "telephone_number": "717-843-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-BOYLE",
        "first_name": "CONDODA",
        "middle_name": "D",
        "credential": "MSN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP001678C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.