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WYATT JAMES BOLES DO
NPI 1083190649
Family Medicine in Provo, UT

Active since July 17, 2018PECOS Enrolled
1055 N 500 W, BLDG A, PROVO, UT 84604(801) 812-5033(801) 812-5034 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 18, 2025, Jul 2, 2025, Jul 17, 2018 (3 updates tracked since 2018).

About Wyatt James Boles Do NPPES

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

WYATT JAMES BOLES DO (NPI 1083190649) is an individual family medicine provider in Provo, Utah, licensed in Utah (7685502-1204) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Pacific Nw Un Of Hs, Col Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1083190649
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWYATT JAMES BOLESCredential: DO
Location Address1055 N 500 W, BLDG AProvo, UT 84604
Mailing Address1055 N 500 WProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Phone(801) 812-5033
Fax(801) 812-5034
Sole ProprietorNo
Medical School CMSPacific Nw Un Of Hs, Col Of Osteopathic MedicineGraduated 2018
Enumeration DateJuly 17, 2018
Last NPPES UpdateSeptember 18, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1083190649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 7685502-1204
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1055 N 500 W, Provo, UT 84604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Regence BlueCross BlueShield of Utah, Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wyatt James Boles Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678079720
PECOS Enrollment IDI20250929002866
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 20

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

ASHLEY SAUNDERS
Family Medicine
1055 N 500 W
PROVO, UT 84604
Utah County (801) 812-5033
CRYSTAL C HUFFAKER FNP
Nurse Practitioner (Family)
1055 N 500 W, STE 211, BUILDING C
PROVO, UT 84604
Utah County (801) 357-7327
SCOTT DELAFIELD EVANS MD
Orthopaedic Surgery (Hand Surgery)
1055 N 500 W, STE 121, BUILDING C
PROVO, UT 84604
Utah County (801) 373-7350
EVAN SCOTT NIELSEN MD
Orthopaedic Surgery
1055 N 500 W, STE 121
PROVO, UT 84604
Utah County (801) 373-7350
ROSANNE JOHNSON OLIVER FNP
Nurse Practitioner (Family)
1055 N 500 W, STE 205
PROVO, UT 84604
Utah County (801) 429-8095
LESLEE RONALD ADAMS NP
Nurse Practitioner (Family)
1055 N 500 W, STE 211
PROVO, UT 84604
Utah County (801) 357-7327
DR. REX F RIPPLINGER MD
Internal Medicine
1055 N 500 W
PROVO, UT 84604
Utah County (801) 429-8000
DR. JIM D CROWLEY M.D.
Urology
1055 N 500 W, SUITE 211
PROVO, UT 84604
Utah County (801) 357-7327

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 Wyatt Boles's NPI number?

The NPI number for Wyatt Boles is 1083190649. It was assigned to this individual provider in the NPPES registry on July 17, 2018.

Where is Wyatt Boles located?

Wyatt Boles practices at 1055 N 500 W Bldg A, Provo, UT 84604. The listed phone number is (801) 812-5033.

What is Wyatt Boles's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wyatt Boles enrolled in Medicare?

Yes. Wyatt Boles is registered in the Medicare PECOS enrollment system.

What insurance does Wyatt Boles accept?

Health plans from Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Wyatt Boles 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.

When was this NPI record last updated?

The NPPES record for Wyatt Boles was last updated on September 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.