Active NPI
Colton Boyle, APRN
- Family Nurse Practitioner
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 219041
- Practice address
- 4401 McAuley Blvd Ste 2700
Oklahoma City, OK 73120-8565 - Phone
- (405) 751-4343
- NPI assigned
- Jun 4, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 219041 | OK | Primary |
| Registered Nurse | 163W00000X | R0115664 | OK |
Addresses
Primary practice location
4401 McAuley Blvd Ste 2700
Oklahoma City, OK 73120-8565
Mailing address
4401 McAuley Blvd Ste 2700
Oklahoma City, OK 73120-8565
Phone (405) 751-4343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4300 McAuley Blvd
Oklahoma City, OK 73120-8302
Phone (405) 936-5455
4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 755-1515
4401 McAuley Blvd
Suite 2700
Oklahoma City, OK 73120-8565
Phone (405) 751-4343
5200 E I 240 Service Rd
Suite 330
Oklahoma City, OK 73135-2607
Phone (405) 755-4290
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0115664 | OK | MD | Registered Nurse |
| 219041 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients |
Locations
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Guthrie, OK
- NPI 1306126818
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1841442274
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1083617005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1649011529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 MCAULEY BLVD STE 2700",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208565",
"telephone_number": "405-751-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 MCAULEY BLVD STE 2700",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208565",
"telephone_number": "405-751-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLE",
"first_name": "COLTON",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-04",
"last_updated": "2024-07-08",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "219041",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "R0115664",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.