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JESSICA CAROL BOYLAN PMHNP-BC
NPI 1770452849
Nurse Practitioner - Psychiatric/Mental Health in Ann Arbor, MI

Active since November 05, 2025PECOS Enrolled
2030 PACKARD ST, ANN ARBOR, MI 48104(586) 216-9253 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Carol Boylan Pmhnp-bc NPPES

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

JESSICA CAROL BOYLAN PMHNP-BC (NPI 1770452849) is an individual psychiatric/mental health provider in Ann Arbor, Michigan, licensed in Michigan (4704289390) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1770452849
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJESSICA CAROL BOYLANCredential: PMHNP-BC
Location Address2030 PACKARD STAnn Arbor, MI 48104-4785
Mailing Address11480 E 13 Mile RdWarren, MI 48093-2566 · (586) 216-9253 · Fax (586) 232-9127
Phone(586) 216-9253
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 5, 2025
NPPES CertifiedNovember 5, 2025
✔ NPI 1770452849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704289390
2030 PACKARD ST, Ann Arbor, MI 48104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Carol Boylan Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608360938
PECOS Enrollment IDI20251212003478
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 48104 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 3

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

MRS. ELISE L METCALF LLMSW
Social Worker (Clinical)
2030 PACKARD ST
ANN ARBOR, MI 48104
Washtenaw County (586) 216-9253
MRS. KATELYN MARIE ADKINS LLMSW
Social Worker (Clinical)
2030 PACKARD ST
ANN ARBOR, MI 48104
Washtenaw County (586) 216-9253
CASSIDY ANN-MARIE GILLAY LLMSW
Social Worker
2030 PACKARD ST
ANN ARBOR, MI 48104
Washtenaw County (586) 216-9253

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 Jessica Boylan's NPI number?

The NPI number for Jessica Boylan is 1770452849. It was assigned to this individual provider in the NPPES registry on November 5, 2025.

Where is Jessica Boylan located?

Jessica Boylan practices at 2030 Packard St, Ann Arbor, MI 48104. The listed phone number is (586) 216-9253.

What is Jessica Boylan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jessica Boylan enrolled in Medicare?

Yes. Jessica Boylan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Boylan was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.