Individual provider Active NPI

Paul Duncan Boyd, FNP

  • Gerontology Nurse Practitioner
  • Palm Springs, CA
National Provider Identifier
1699250886
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95006737 Issued in CA
Practice address
255 N El Cielo Rd Ste C-300
Palm Springs, CA 92262-6992
Phone
(760) 674-3344
NPI assigned
Oct 3, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 95006737 CA Primary

Addresses

Primary practice location

255 N El Cielo Rd Ste C-300
Palm Springs, CA 92262-6992

Mailing address

1100 N Palm Canyon Dr
Ste 210
Palm Springs, CA 92262-4426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210512000977 CA Practitioner - Nurse Practitioner 8426467036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Edgar J Stanley MD Inc a Medical CorporationGroup PAC ID 2961699236, 2 clinicians

Practice addresses (Care Compare)

1100 N Palm Canyon Dr
Suite 210
Palm Springs, CA 92262-4426
Phone (760) 322-7900

Hospital & facility affiliations

  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573
  • Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edgar J Stanley MD Inc a Medical Corporation CurrentSince May 5, 2021 Accepting new patients
Desert Medical Group, Inc. Past Accepting new patients
Family Hospice Care, LLC Past Accepting new patients

Locations

1100 N Palm Canyon Dr
Ste 210
Palm Springs, CA 92262
Phone (760) 322-7900

1180 N Indian Canyon Dr
Ste E425
Palm Springs, CA 92262
Phone (760) 322-7900

Interoperability endpoints

  • Direct secure messaging: paul.boyd.p20@direct.mydohc.nextgenshare.com
  • Direct secure messaging: paul.boyd.p5@direct.mydohc.nextgenshare.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.

Hospital & facility affiliations 2

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": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1699250886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N PALM CANYON DR",
            "address_2": "STE 210",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N EL CIELO RD STE C-300",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626992",
            "telephone_number": "760-674-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "PAUL",
        "middle_name": "DUNCAN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-03",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95006737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.