Carolyn Bird Boley, NP
NPI 1629528245ActiveIndividual· Nurse Practitioner· Eureka, CA
Nurse Practitioner (NP) with Providence Medical Foundation, practicing in Eureka, California. Mostly services rather than prescriptions: Medicare paid $1,605 for 32 patients in 2024, with only 47 Part D claims. Lists Providence St Joseph Hospital as a hospital affiliation.
Overview
| NPI | 1629528245 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Oct 6, 2016 |
| Last updated in NPPES | Oct 6, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95004725 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 32 |
|---|---|
| Services billed | 35 across 7 procedure codes |
| Paid by Medicare | $1,605 |
Part D prescriptions in 2024
| Prescriptions (claims) | 47 · 47 30-day fills |
|---|---|
| Patients | 38 |
| Total drug cost | $385.26 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Providence Medical FoundationVictorville, CA · 1,466 clinicians
Hospital affiliation
- Providence St Joseph HospitalEureka, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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