Individual provider Active NPI

David Boley

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1750602132
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
18988 Issued in OH
Practice address
931 Chatham LN
Columbus, OH 43221-2417
Phone
(614) 533-5500
NPI assigned
Jun 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Management Registered Nurse 163WP0000X RN60258185 WA
Adult Health Nurse Practitioner 363LA2200X AP60258141 WA
Adult Health Nurse Practitioner 363LA2200X RN.332736-1 OH
Nurse Practitioner 363L00000X 18988 OH Primary

Addresses

Primary practice location

931 Chatham LN
Columbus, OH 43221-2417

Mailing address

216 Park Ave
Apt. #4
Newport, KY 41071-4580
Phone (650) 868-1945

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
I20160728002320 OH Practitioner - Nurse Practitioner 2264603323 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60258185WAMDPain Management Registered Nurse
18988OHMDNurse Practitioner
RN.332736-1OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Area Physicians LLC CurrentSince Jul 1, 2025 Accepting new patients
Ohiohealth Corporation CurrentSince Jun 27, 2016 Accepting new patients
Barrie Behavioral Health and Wellness, Inc CurrentSince Jan 1, 2023 Accepting new patients
B Fit Preventive Care Clinic CurrentSince Mar 5, 2012 Accepting new patients
Ohiohealth Corporation CurrentSince Jun 27, 2016 Accepting new patients
Klinic Medical PLLC Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

2700 E Dublin Granville Rd
Ste LL1
Columbus, OH 43231
Phone (614) 218-2766

931 Chatham Ln
Columbus, OH 43221
Phone (614) 451-3643

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1750602132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 PARK AVE",
            "address_2": "APT. #4",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410714580",
            "telephone_number": "650-868-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 CHATHAM LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212417",
            "telephone_number": "614-533-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLEY",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-19",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "WA",
            "license": "RN60258185",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60258141",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "RN.332736-1",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "18988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.