Active NPI
Nathan Edward Boles
- Family Medicine Physician
- Abilene, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- T1017
- Practice address
- 5302 Buffalo Gap Rd Ste 104
Abilene, TX 79606-4251 - Phone
- (325) 307-6226
- Fax
- (833) 437-1258
- NPI assigned
- Apr 12, 2018
- Last updated
- Jan 20, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | T1017 | TX | Primary |
Addresses
Primary practice location
5302 Buffalo Gap Rd Ste 104
Abilene, TX 79606-4251
Mailing address
5302 Buffalo Gap Rd Ste 104
Abilene, TX 79606-4251
Phone (325) 307-6226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- William Carey University College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The West Texas Rehabilitation Center
Practice addresses (Care Compare)
1150 N 18TH St
Suite 300
Abilene, TX 79601-2931
Phone (325) 670-6460
4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411
Hospital & facility affiliations
- Angels Care Home Health of San Angelo
- Enhabit Home Health
- Hendrick Home Health
- Kinder Hearts Home Health
- Hendrick Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.51 of 100
- Quality
- 63.02
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T1017 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendrick Provider Network | Current | Accepting new patients | |
| Hendrick Provider Network | Family Medicine | Current | Accepting new patients |
Locations
1150 N 18th St
Ste 300
Abilene, TX 79601
Phone (325) 670-2255
1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020
5302 Buffalo Gap Rd
Ste 104
Abilene, TX 79606
Phone (325) 307-6226
300 E Commerce St
Brownwood, TX 76801
Phone (325) 510-3400
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hendrick Rural Health Clinic San Saba
- Rural Health Clinic/Center
- San Saba, TX
- NPI 1346044401
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Angels Care Home Health of San Angelo
- Home Health Agency
- San Angelo, TX
- NPI 1942205125
-
- General Acute Care Hospital
- Abilene, TX
- NPI 1528064649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737331200000",
"number": "1952808255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5302 BUFFALO GAP RD STE 104",
"city": "ABILENE",
"state": "TX",
"postal_code": "796064251",
"telephone_number": "325-307-6226",
"fax_number": "833-437-1258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5302 BUFFALO GAP RD STE 104",
"city": "ABILENE",
"state": "TX",
"postal_code": "796064251",
"telephone_number": "325-307-6226",
"fax_number": "833-437-1258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLES",
"first_name": "NATHAN",
"middle_name": "EDWARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-12",
"last_updated": "2025-01-20",
"certification_date": "2025-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "T1017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.