NPIMap

Individual provider Active NPI

Addison McKinley Boyle

  • Physician Assistant
  • Evansville, IN
National Provider Identifier
1467218321
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.011548 Issued in IL
Practice address
919 Taversham Ave
Evansville, IN 47725-6420
Phone
(812) 887-9242
NPI assigned
Feb 27, 2024
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.011548 IL Primary
Physician Assistant 363A00000X 10004426A IN

Addresses

Primary practice location

919 Taversham Ave
Evansville, IN 47725-6420

Mailing address

919 Taversham Ave
Evansville, IN 47725-6420

Other practice location 1

610 N Court St
Grayville, IL 62844-1002
Phone (618) 375-7101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240717002037 IN Practitioner - Physician Assistant 4688119308 Reassigns benefits to 1 organization
I20260129002577 IL Practitioner - Physician Assistant 4688119308 Reassigns benefits to 2 organizations

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

Practice addresses (Care Compare)

4209 Gateway Blvd
Newburgh, IN 47630-8900
Phone (812) 842-0907

600 Mary St
Evansville, IN 47710-1658
Phone (270) 827-8811

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.011548ILMDPhysician Assistant
10004426AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wabash General Hospital District CurrentSince Dec 21, 2025 Accepting new patients
Wabash General Hospital District Current Accepting new patients
Wabash General Hospital District CurrentSince Dec 21, 2025 Accepting new patients
Deaconess Speciality Physicians, Inc CurrentSince Jun 25, 2024 Accepting new patients
Deaconess Specialty Physicians Inc Physician Assistant CurrentSince Jun 25, 2024 Accepting new patients
Wabash General Hospital District CurrentSince Dec 21, 2025 Accepting new patients

Locations

610 N Court St
Grayville, IL 62844
Phone (618) 375-6341

1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621

1525 College Dr
Mount Carmel, IL 62863
Phone (618) 263-6343

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

Interoperability endpoints

  • Direct secure messaging: aboyle392818@direct.deaconess.com

Organizations & group practices 8

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 11

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": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1467218321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 TAVERSHAM AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477256420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 TAVERSHAM AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477256420",
            "telephone_number": "812-887-9242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 N Court St",
            "address_purpose": "LOCATION",
            "city": "Grayville",
            "state": "IL",
            "postal_code": "628441002",
            "country_code": "US",
            "telephone_number": "618-375-7101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "ADDISON",
        "middle_name": "MCKINLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.011548",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004426A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.