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

Active since October 06, 2025PECOS EnrolledAccepts Medicare Assignment
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: October 18, 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Shaun Robert Boyle Fnp-c 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 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.

Medicare Billing Reassignment

Medicare enrollment records show Shaun Boyle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Amazing Medical Associates, Inc
6.8 mi
Multi-Specialty
434 W ASCENSION WAY STE 225
Murray, UT 84123
  • Reassigned Medicare billing, Utah enrollment
  • 33 clinicians in this Medicare group
NPI 1487836532 (801) 716-7008

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shaun Boyle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaun Boyle reassigns Medicare benefits to Amazing Medical Associates, Inc (Murray, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shaun Boyle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shaun Boyle accept?

Health plans from Molina Healthcare and Select Health list Shaun Boyle 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 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 12 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.