JACOB WILLIAM BOYLE (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003792540
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for JACOB WILLIAM BOYLE (PMHNP)
49711 N PARK CIR
EAST LIVERPOOL, OH 439208981
Phone: (234) 736-6795
Fax: (234) 259-1003
Type: Location
4680 Douglas Cir NW
Canton, OH 447183619
Phone: (330) 703-6578
Type: Location
310 American Way Ste A
Weirton, WV 260624083
Phone: (304) 797-6410
Type: Location
310 AMERICAN WAY STE A
WEIRTON, WV 260624083
Phone: (304) 797-6410
Type: Location
15613 Pineview Dr Ste 3C
East Liverpool, OH 439209096
Phone: (330) 932-1594
Fax: (330) 368-0067
Type: Location
49711 N Park Cir
East Liverpool, OH 439208981
Phone: (330) 843-0083
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-11-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251106003095 | I | Nurse Practitioner | WV | TBD |
| I20251112003906 | I | Nurse Practitioner | OH | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43920)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Clinical Social Worker | PA | |
| - | SC | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | WV | |
| Physician Assistant | WV | |
| Nurse Practitioner | WV | |
| Psychiatry, Addiction Medicine, Neuropsychiatry, Sleep Medicine | WV | |
| Nurse Practitioner | OH |
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