Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NEESAYTEE KIMBERLY BOULDEN M.D.
NPI 1972952919
Obstetrics & Gynecology in Chambersburg, PA

Active since June 09, 2016PECOS EnrolledAccepts Medicare Assignment
12 ST PAUL DR, CHAMBERSBURG, PA 17201(717) 217-6882(717) 217-6883 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2026, Jul 21, 2020, Jun 5, 2020 and 1 more (4 updates tracked since 2020).

About Neesaytee Kimberly Boulden M.d. NPPES

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

NEESAYTEE KIMBERLY BOULDEN M.D. (NPI 1972952919) is an individual obstetrics & gynecology provider in Chambersburg, Pennsylvania, licensed in Pennsylvania (MD471312) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (2016).

NPPES Registry Identity

NPI1972952919
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameNEESAYTEE KIMBERLY BOULDENCredential: M.D.
Location Address12 ST PAUL DRChambersburg, PA 17201-1035
Mailing Address785 5th Ave Ste 3Chambersburg, PA 17201-4232 · (717) 263-9555 · Fax (717) 709-6529
Fax(717) 217-6883
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2016
Enumeration DateJune 9, 2016
Last NPPES UpdateJuly 15, 20264 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1972952919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in PA · MD471312
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
12 ST PAUL DR, Chambersburg, PA 17201

Other Identifiers 1

Other14590947PA · Caqh

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

Neesaytee Kimberly Boulden M.d. 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 ID4486078706
PECOS Enrollment IDI20200721000014
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 17201 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

Physician Assistant (Medical)
12 ST PAUL DR
CHAMBERSBURG, PA 17201
Obstetrics & Gynecology
12 ST PAUL DR
CHAMBERSBURG, PA 17201
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12 ST PAUL DR
CHAMBERSBURG, PA 17201
Radiology (Vascular & Interventional Radiology)
12 ST PAUL DR
CHAMBERSBURG, PA 17201
Nurse Anesthetist, Certified Registered
12 ST PAUL DR
CHAMBERSBURG, PA 17201
Dietitian, Registered
12 ST PAUL DR, WELLSPAN ENDOCRINOLOGY
CHAMBERSBURG, PA 17201
Obstetrics & Gynecology
12 ST PAUL DR
CHAMBERSBURG, PA 17201
Nurse Practitioner
12 ST PAUL DR
CHAMBERSBURG, PA 17201

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 Neesaytee Boulden's NPI number?

The NPI number for Neesaytee Boulden is 1972952919. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Where is Neesaytee Boulden located?

Neesaytee Boulden practices at 12 St Paul Dr, Chambersburg, PA 17201. The listed phone number is (717) 217-6882.

What is Neesaytee Boulden's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Neesaytee Boulden enrolled in Medicare?

Yes. Neesaytee Boulden 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.

When was this NPI record last updated?

The NPPES record for Neesaytee Boulden was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.