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MR. DONALD CRAIG BOYLES FNP
NPI 1023899085
Nurse Practitioner in Wheeling, WV

Active since October 06, 2023PECOS EnrolledAccepts Medicare Assignment
10 ELM GROVE CROSSING MALL, WHEELING, WV 26003(304) 215-1368 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2024, Oct 6, 2023 (2 updates tracked since 2023).

About Mr. Donald Craig Boyles Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DONALD CRAIG BOYLES FNP (NPI 1023899085) is an individual nurse practitioner in Wheeling, West Virginia, licensed in West Virginia (117671) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and maintains a secondary practice location in Weirton.

NPPES Registry Identity

NPI1023899085
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. DONALD CRAIG BOYLESCredential: FNP
Location Address10 ELM GROVE CROSSING MALLWheeling, WV 26003-5300
Mailing Address10 Elm Grove Crossing MallWheeling, WV 26003-5300 · (304) 215-1368
Phone(304) 215-1368
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 6, 2023
Last NPPES UpdateFebruary 13, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
✔ NPI 1023899085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in WV · 117671✔ Licensed in PA · SP029698✔ Licensed in OH · 0035064
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
10 ELM GROVE CROSSING MALL, Wheeling, WV 26003
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Secondary Practice Location 1

Location 1218 Three Springs DrWeirton, WV 26062-3815 · Phone (304) 919-2183

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Donald Craig Boyles Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183167539
PECOS Enrollment IDI20240613003933
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

URGENT CARE, INC. - WEST VIRGINIA
Clinic/Center (Urgent Care)
10 ELM GROVE CROSSING MALL
WHEELING, WV 26003
Ohio County (304) 242-4228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald Boyles's NPI number?

The NPI number for Donald Boyles is 1023899085. It was assigned to this individual provider in the NPPES registry on October 6, 2023.

Where is Donald Boyles located?

Donald Boyles practices at 10 Elm Grove Crossing Mall, Wheeling, WV 26003. The listed phone number is (304) 215-1368.

What is Donald Boyles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Donald Boyles enrolled in Medicare?

Yes. Donald Boyles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Donald Boyles accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Donald Boyles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Donald Boyles affiliated with any hospitals?

According to CMS data, Donald Boyles is affiliated with Allegheny General Hospital.

When was this NPI record last updated?

The NPPES record for Donald Boyles was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.