Active NPI
David Boley
- Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 18988
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.04 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN60258185 | WA | MD | Pain Management Registered Nurse |
| 18988 | OH | MD | Nurse Practitioner |
| RN.332736-1 | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion Area Physicians LLC | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Barrie Behavioral Health and Wellness, Inc | Current | Accepting new patients | |
| B Fit Preventive Care Clinic | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | 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.
-
- Internal Medicine Physician
- Marion, OH
- NPI 1619230802
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Pain Clinic/Center
- Long Beach, WA
- NPI 1669742714
-
- Optometrist
- Perrysburg, OH
- NPI 1689620015
-
- Psychiatric/Mental Health Nurse Practitioner
- Columbus, OH
- NPI 1285300574
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
- General Practice Physician
- Las Vegas, NV
- NPI 1740980630
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.