MELANIE SHEVONNE BOLEN (DNP, APRN-CNP, FNP-C) – Family Nurse Practitioner, NPI 1376153544
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for MELANIE SHEVONNE BOLEN (DNP, APRN-CNP, FNP-C)
1207 DONNA DR
REDFIELD, AR 721329133
Phone: (501) 200-7104
Type: Mailing
7300 Dollarway Rd Ste 116
White Hall, AR 716023023
Phone: (702) 477-0888
Fax: (870) 247-7089
Type: Location
PO BOX 497
AUGUSTA, AR 720060497
Phone: (870) 347-2534
Fax: (870) 347-1235
Type: Mailing
7300 DOLLARWAY RD STE 116
WHITE HALL, AR 716023023
Phone: (702) 477-0888
Fax: (870) 247-7089
Type: Location
1600 W HOLLAND AVE
WHITE HALL, AR 716029241
Phone: (870) 619-4451
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $812.
Total Amount is formed as General ($812) + Research ($0) + Ownership ($0) = $812.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ViiV Healthcare Company ($360).
Total Amount
$812
General + Research + Ownership
Payments
34
Total payment records
General Amount
$812
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ViiV Healthcare Company | $360 |
| Gilead Sciences, Inc. | $216 |
| AstraZeneca Pharmaceuticals LP | $78 |
| PFIZER INC. | $32 |
| Neurocrine BioSciences Inc. | $29 |
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: 2021-12-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211216000256 | I | Nurse Practitioner | AR | 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 72132)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AR | |
| Physical Therapist In Private Practice | AR | |
| Physical Medicine And Rehabilitation | AR | |
| Physical Medicine And Rehabilitation, Pain Management | AR | |
| Nurse Practitioner | AR | |
| - | AR |
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