Individual provider Active NPI

Christine Boysel, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1659936540
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.024587 Issued in OH
Practice address
765 Pierce Dr
Columbus, OH 43223-2425
Phone
(614) 223-1650
Fax
(888) 679-9808
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.024587 OH Primary

Addresses

Primary practice location

765 Pierce Dr
Columbus, OH 43223-2425

Mailing address

PO Box 1132
Marysville, OH 43040-5132
Phone (937) 869-1835

Other names 1

  • Christine Evilsizor Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL deborah.moheny@sequelyouthservices Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20231121003938 OH Practitioner - Nurse Practitioner 4284082785 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mahajan Therapeutics, LLCGroup PAC ID 8820236524, 21 clinicians

Practice addresses (Care Compare)

5855 Black Rd
Cable, OH 43009-9764
Phone (937) 869-1835

6300 N Main St
Dayton, OH 45415-3154
Phone (937) 275-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024587OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mahajan Therapeutics, LLC CurrentSince Apr 18, 2023 Accepting new patients
Meaningful Believable Solutions LLC Psychiatric/Mental Health CurrentSince Oct 10, 2023 Accepting new patients
Mahajan Therapeutics, LLC Past Accepting new patients

Locations

6300 N Main St
Dayton, OH 45415
Phone (937) 275-1500

2954 Walnut St
Portsmouth, OH 45662
Phone (740) 353-1111

1679 E State Route 29
Urbana, OH 43078
Phone (937) 653-6275

Interoperability endpoints

  • Direct secure messaging: christine.boysel.1@29876.direct.athenahealth.com

Organizations & group practices 3

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": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1659936540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1132",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430405132",
            "telephone_number": "937-869-1835",
            "fax_number": "888-679-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 PIERCE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432232425",
            "telephone_number": "614-223-1650",
            "fax_number": "888-679-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYSEL",
        "first_name": "CHRISTINE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.024587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "deborah.moheny@sequelyouthservices",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "765 Pierce Dr",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432232425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "EVILSIZOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.