Individual provider Active NPI

Victoria Boylen, CNP

  • Adult Health Nurse Practitioner
  • Canton, OH
National Provider Identifier
1679021968
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.019817 Issued in OH
Practice address
236 3Rd St SW
Canton, OH 44702-1607
Phone
(330) 754-4431
Fax
(330) 244-8831
NPI assigned
Sep 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.019817 OH
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.019817 OH Primary

Addresses

Primary practice location

236 3Rd St SW
Canton, OH 44702-1607

Mailing address

236 3Rd St SW
Canton, OH 44702-1607
Phone (330) 754-4431

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
I20170112002976 OH Practitioner - Nurse Practitioner 1951683689 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skill Doc 101 LLCGroup PAC ID 1658509369, 34 clinicians
Pinnacle Care Providers, LLCGroup PAC ID 1850437948, 40 clinicians

Practice addresses (Care Compare)

236 3Rd St SW
Canton, OH 44702-1607
Phone (330) 754-4431

Hospital & facility affiliations

  • Health Care Plus Home health agency, Marietta, OH, CCN 367489

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Care Providers, LLC Gerontology CurrentSince May 25, 2025 Accepting new patients
Pai Participant 1 LLC CurrentSince Jun 14, 2025 Accepting new patients
Exceptional Care Services LLC CurrentSince Dec 16, 2024 Accepting new patients
Traveling Nurse Practitioner, LLC CurrentSince Dec 6, 2016 Accepting new patients
Skill Doc 101, LLC CurrentSince Jul 5, 2025 Accepting new patients
Transitions Health Network LLC Past Accepting new patients
Plantation Key Operating Company, LLC Past Accepting new patients

Locations

1050 Chinoe Rd
Ste 350
Lexington, KY 40502
Phone (606) 275-9869

880 Mull Ave
Ste 200
Akron, OH 44313
Phone (330) 590-0847

11750 Klinger Ave NE
Alliance, OH 44601
Phone (330) 823-8263

236 3rd St SW
Canton, OH 44702
Phone (330) 754-4431

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

716 Commercial Ave SW
New Philadelphia, OH 44663
Phone (330) 343-7605

9685 Chillicothe Rd
Willoughby, OH 44094
Phone (440) 256-8100

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1679021968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 3RD ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021607",
            "telephone_number": "330-754-4431",
            "fax_number": "330-244-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 3RD ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021607",
            "telephone_number": "330-754-4431",
            "fax_number": "330-244-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLEN",
        "first_name": "VICTORIA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.019817",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.019817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.