Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael John Boals, APRNCNP

Individual provider Nurse Practitioner · NPI 1679371082

Michael John Boals, APRNCNP is a Nurse Practitioner in Columbus, Ohio. Qualified in 2025, 1 year ago. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

460 W 10th Ave
Columbus, OH 43210-1240
Phone: (614) 293-3196
Fax: (614) 293-4812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.0040214 (OH)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence APRN.CNP.0040214 (OH)

Record details

NPI number1679371082
Entity typeIndividual (Type 1)
GenderMale
Credentials APRNCNP
Sole proprietorNo
NPI enumeratedMarch 4, 2025
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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