Individual provider Active NPI

Jeraleah Boyles

  • Physician Assistant
  • Edinburg, TX
National Provider Identifier
1386372894
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19248 Issued in TX
Practice address
609 N Jackson Rd
Edinburg, TX 78541-2851
Phone
(956) 600-7807
NPI assigned
Aug 11, 2022
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19248 TX Primary

Addresses

Primary practice location

609 N Jackson Rd
Edinburg, TX 78541-2851

Mailing address

1201 W University Dr
Edinburg, TX 78539-2909

Other practice location 1

1201 W University Dr
Edinburg, TX 78539-2909
Phone (958) 665-7049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250711002689 TX Practitioner - Physician Assistant 5597270355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JNC Behavioral Services, P.a.Group PAC ID 9931379245, 7 clinicians

Practice addresses (Care Compare)

609 N Jackson Rd
Edinburg, TX 78541-2851
Phone (956) 600-7807

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA19248TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
JNC Behavioral Services, P.a. CurrentSince Jan 5, 2026 Accepting new patients
Dr Bose Industrial & Family Medicine PLLC PastSince May 1, 2014 Accepting new patients

Locations

345 Lorenaly Dr
Brownsville, TX 78526
Phone (956) 545-0646

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1386372894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W UNIVERSITY DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785392909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785412851",
            "telephone_number": "956-600-7807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 W University Dr",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785392909",
            "country_code": "US",
            "telephone_number": "958-665-7049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLES",
        "first_name": "JERALEAH",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA19248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.