Active NPI
Neesaytee Kimberly Boulden, M.D.
- Obstetrics & Gynecology Physician
- Chambersburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD471312
- Practice address
- 12 St Paul Dr
Chambersburg, PA 17201-1035 - Phone
- (717) 217-6882
- Fax
- (717) 217-6883
- NPI assigned
- Jun 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD471312 | PA | Primary |
Addresses
Primary practice location
12 St Paul Dr
Chambersburg, PA 17201-1035
Mailing address
785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555
Other practice location 1
601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 765-5086
Other practice location 2
214 Peach Orchard Rd
Mc Connellsburg, PA 17233-8559
Phone (717) 485-6125
Other practice location 3
97 Progress Blvd
Shippensburg, PA 17257-9053
Phone (717) 217-6882
Other practice location 4
120 N 7th St
Chambersburg, PA 17201-1795
Phone (717) 217-6882
Other practice location 5
1203 Langhorne Newtown Rd
Ste 336
Langhorne, PA 19047-1209
Phone (215) 322-5042
Other practice location 6
214 Peach Orchard Rd
Mc Connellsburg, PA 17233-8559
Phone (717) 485-6125
Other practice location 7
801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-4670
Other practice location 8
24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 765-5086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14590947 | Other | PA | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Eastern Virginia Medical School, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 St Paul Dr
Chambersburg, PA 17201-1035
120 N 7TH St
Chambersburg, PA 17201-1795
25 Monument Rd
York, PA 17403-5073
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Capital Women'S Care, L.L.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| Capital Women'S Care, L.L.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| The Chambersburg Hospital | Past | Accepting new patients |
Locations
61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171
120 N 7th St
Chambersburg, PA 17201
Phone (717) 217-6882
12 St Paul Dr
Ste 207
Chambersburg, PA 17201
Phone (717) 217-6882
12 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6026
24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512
97 Progress Blvd
Shippensburg, PA 17257
Phone (717) 217-6800
601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085
501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
Interoperability endpoints
- neesaytte.boulden.p1@direct.cwcare.nextgenshare.com
- nboulden243740@wellspan.direct-ci.com
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Obstetrics & Gynecology Physician
- Fulton, MD
- NPI 1679534069
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Family Medicine Physician
- Jacobus, PA
- NPI 1922790963
-
- Ambulatory Surgical Clinic/Center
- Frederick, MD
- NPI 1093766289
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1972952919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 5TH AVE STE 3",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172014232",
"telephone_number": "717-263-9555",
"fax_number": "717-709-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 ST PAUL DR",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172011035",
"telephone_number": "717-217-6882",
"fax_number": "717-217-6883"
}
],
"practiceLocations": [
{
"address_1": "601 E Main St",
"address_purpose": "LOCATION",
"city": "Waynesboro",
"state": "PA",
"postal_code": "172682332",
"country_code": "US",
"telephone_number": "717-765-5086",
"fax_number": "717-762-4551",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "214 Peach Orchard Rd",
"address_purpose": "LOCATION",
"city": "Mc Connellsburg",
"state": "PA",
"postal_code": "172338559",
"country_code": "US",
"telephone_number": "717-485-6125",
"fax_number": "717-485-6106",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "97 Progress Blvd",
"address_purpose": "LOCATION",
"city": "Shippensburg",
"state": "PA",
"postal_code": "172579053",
"country_code": "US",
"telephone_number": "717-217-6882",
"fax_number": "717-217-6883",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 N 7th St",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172011795",
"country_code": "US",
"telephone_number": "717-217-6882",
"fax_number": "717-217-6883",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1203 Langhorne Newtown Rd",
"address_2": "Ste 336",
"address_purpose": "LOCATION",
"city": "Langhorne",
"state": "PA",
"postal_code": "190471209",
"country_code": "US",
"telephone_number": "215-322-5042",
"fax_number": "215-322-5043",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "214 Peach Orchard Rd",
"address_purpose": "LOCATION",
"city": "Mc Connellsburg",
"state": "PA",
"postal_code": "172338559",
"country_code": "US",
"telephone_number": "717-485-6125",
"fax_number": "717-485-6106",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 Ostrum St",
"address_purpose": "LOCATION",
"city": "Bethlehem",
"state": "PA",
"postal_code": "180151000",
"country_code": "US",
"telephone_number": "484-526-4670",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24 Antrim Commons Dr",
"address_purpose": "LOCATION",
"city": "Greencastle",
"state": "PA",
"postal_code": "172251623",
"country_code": "US",
"telephone_number": "717-765-5086",
"fax_number": "717-597-5522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOULDEN",
"first_name": "NEESAYTEE",
"middle_name": "KIMBERLY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-09",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD471312",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14590947",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.