Active NPI
Jennifer M. Boyle, FNP
- Family Nurse Practitioner
- Brookings, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200350054NP
- Practice address
- 585 5TH St
Brookings, OR 97415-9702 - Phone
- (541) 469-5377
- Fax
- (541) 469-8015
- NPI assigned
- Jun 22, 2006
- Last updated
- Oct 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200350054NP | OR | Primary |
Addresses
Primary practice location
585 5TH St
Brookings, OR 97415-9702
Mailing address
PO Box 6819
Brookings, OR 97415-0297
Phone (541) 469-5377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060207000513 | OR | Practitioner - Nurse Practitioner | 0648285098 | Practice locations: Brookings, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1101 Chetco Ave
Brookings, OR 97415-2515
Phone (541) 254-9300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Joseph Martinelli MD a Professional Corp | Past | Accepting new patients |
Interoperability endpoints
- jennifer.boyle.1@15569.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Brookings, OR
- NPI 1366679581
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brookings, OR
- NPI 1396032447
-
dba Curry Medical Center (formerly Brookings Medical Center)
- Critical Access Hospital Clinic/Center
- Brookings, OR
- NPI 1083656367
-
dba Curry General Hospital
- Critical Access Hospital
- Gold Beach, OR
- NPI 1487696985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287619200000",
"number": "1508802802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6819",
"city": "BROOKINGS",
"state": "OR",
"postal_code": "974150297",
"telephone_number": "541-469-5377",
"fax_number": "541-469-8015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 5TH ST",
"city": "BROOKINGS",
"state": "OR",
"postal_code": "974159702",
"telephone_number": "541-469-5377",
"fax_number": "541-469-8015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLE",
"first_name": "JENNIFER",
"middle_name": "M.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2010-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "200350054NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookings, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.