MARLISSA BOYLES (FNP) – Family Nurse Practitioner, NPI 1316314933

MARLISSA BOYLES (FNP) is a healthcare provider. based in Olney, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 209.013074 (IL). The NPI Number for MARLISSA BOYLES (FNP) is 1316314933

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MARLISSA BOYLES (FNP)
NPI
1316314933
Phone
(618) 364-1009
Address
405 S WHITTLE AVE
Enumeration Date
31 August 2015
Last Update Date
15 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182628621
Graduation Year
2015 (11 years ago)
PAC ID
3870809072
Group Practice PAC ID
8022908185
Professional Enrollment ID
I20150902002783
Address ID
IL628632638MO1418XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MARLISSA BOYLES (FNP)

  • 405 S WHITTLE AVE

    OLNEY, IL 624502262

    Phone: (618) 364-1009

    Type: Mailing

  • PO BOX 155

    CHRISTOPHER, IL 628220155

    Phone: (618) 724-2401

    Fax: (618) 724-4628

    Type: Mailing

  • 201 E NORTH AVE

    FLORA, IL 628392030

    Phone: (618) 662-8386

    Fax: (618) 662-4338

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2024-01-26 • Largest payer in this snapshot: Xeris Pharmaceuticals, Inc. ($33).

Total Amount

$87

General + Research + Ownership

Payments

5

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-09-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150902002783INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes13168$0
17000Destruction of precancer skin growth, 1 growth6341$0
99214Established patient office or other outpatient visit, 30-39 minutes4734$0
17003Destruction of precancer skin growth, 2-14 growths4631$0
11102Biopsy of related skin growth, first growth3930$0
View full utilization report →

Insurance plans in this area (ZIP 62450)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022908185View full group profile
NameSpecialtyState
Family PracticeNM
Nurse PractitionerIL
Nurse PractitionerIL
General SurgeryIN
Nurse PractitionerME
Nurse PractitionerIL
Family PracticeIL
-IN
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Is there an official ID for MARLISSA BOYLES (FNP) in U.S. healthcare records?
The official identifier for MARLISSA BOYLES (FNP) is NPI 1316314933.
Would MARLISSA BOYLES (FNP) appear as active to a payer?
You can treat MARLISSA BOYLES (FNP) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MARLISSA BOYLES (FNP)?
MARLISSA BOYLES (FNP)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARLISSA BOYLES (FNP)?
Travel planning: use Olney, Illinois as the reference point for MARLISSA BOYLES (FNP), then confirm.
Does MARLISSA BOYLES (FNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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