Wyatt Boles, DO
NPI 1083190649 · Family Medicine Physician · Provo, UT
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wyatt Boles, DO is a Family Medicine Physician provider in Provo, UT (NPI 1083190649).
Provider details
- NPI number
- 1083190649
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 7685502-1204 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-07-17
- Last updated
- 2025-09-18
- Certified
- 2025-09-18
Frequently asked questions
- What is Wyatt Boles's NPI number?
- Wyatt Boles's National Provider Identifier (NPI) is 1083190649, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wyatt Boles's specialty?
- Wyatt Boles is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wyatt Boles located?
- Wyatt Boles's practice location on file with NPPES is 1055 N 500 W, Provo, UT 84604.
- What is Wyatt Boles's phone number?
- The practice phone number listed in the NPPES registry for Wyatt Boles is (801) 812-5033.
- Does Wyatt Boles accept Medicare?
- Wyatt Boles is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Wyatt Boles's NPI active?
- Yes — Wyatt Boles's NPI (1083190649) is active in the NPPES registry as of the last update on 2025-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.