NPIMap

Individual provider Active NPI

Nathan Edward Boles

  • Family Medicine Physician
  • Abilene, TX
National Provider Identifier
1952808255
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T1017 Issued in TX
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
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210628000082 TX Practitioner - Family Practice 5092066878 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
T1017TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network Family Medicine CurrentSince Aug 16, 2021 Accepting new patients
Hendrick Provider Network CurrentSince Aug 16, 2021 Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1150 N 18th St
Ste 300
Abilene, TX 79601
Phone (325) 670-2255

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 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 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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
Hendrick Provider Network 234 clinicians
The West Texas Rehabilitation Center 444 clinicians

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 Home health agency, San Angelo, TX, CCN 679429
  • Enhabit Home Health Home health agency, Abilene, TX, CCN 679184
  • Hendrick Home Health Home health agency, Abilene, TX, CCN 457761
  • Kinder Hearts Home Health Home health agency, Abilene, TX, CCN 679193
  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

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

Verify at the official NPI Registry.