1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Nurse Practitioner
  6. NPI Profile

MR. SHAUN ROBERT BOYLE FNP-C
NPI 1255205803
Nurse Practitioner - Family in Salt Lake City, UT

Active since October 06, 2025PECOS Enrolled
2104 E ROOSEVELT AVE, SALT LAKE CITY, UT 84108(801) 349-9908 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Shaun Robert Boyle Fnp-c NPPES

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

MR. SHAUN ROBERT BOYLE FNP-C (NPI 1255205803) is an individual family provider in Salt Lake City, Utah, licensed in Utah (F07250443) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255205803
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. SHAUN ROBERT BOYLECredential: FNP-C
Location Address2104 E ROOSEVELT AVESalt Lake City, UT 84108-2312
Mailing Address2104 E Roosevelt AveSalt Lake City, UT 84108-2312 · (801) 349-9908
Phone(801) 349-9908
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 6, 2025
NPPES CertifiedOctober 5, 2025
✔ NPI 1255205803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · F07250443
2104 E ROOSEVELT AVE, Salt Lake City, UT 84108
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Shaun Robert Boyle Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335620244
PECOS Enrollment IDI20260227001334
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 84108 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.

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 Shaun Boyle's NPI number?

The NPI number for Shaun Boyle is 1255205803. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Where is Shaun Boyle located?

Shaun Boyle practices at 2104 E Roosevelt Ave, Salt Lake City, UT 84108. The listed phone number is (801) 349-9908.

What is Shaun Boyle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shaun Boyle enrolled in Medicare?

Yes. Shaun Boyle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shaun Boyle was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.