LEIGH SUZANNE BOLTON (NP) – Nurse Practitioner, NPI 1679192561
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for LEIGH SUZANNE BOLTON (NP)
225 N JACKSON AVE
SAN JOSE, CA 951161603
Phone: (408) 259-5000
Type: Mailing
1450 TREAT BLVD STE 300
WALNUT CREEK, CA 945972168
Phone: (925) 952-2828
Type: Mailing
5161 CLAYTON RD STE F
WALNUT CREEK, CA 94598
Phone: (925) 941-4058
Type: Location
225 N Jackson Ave
San Jose, CA 951161603
Phone: (408) 259-5000
Type: Location
300 Pasteur Dr
Stanford, CA 943052200
Phone: (650) 723-4000
Type: Location
401 Bayhill Rd
Half Moon Bay, CA 940192204
Phone: (650) 454-9314
Type: Location
300 PASTEUR DR
STANFORD, CA 943052200
Phone:
Type: Mailing
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: 2020-11-12
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 |
|---|---|---|---|---|
| I20201112003174 | I | Nurse Practitioner | CA | 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 95116)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Pediatric Medicine | CA | |
| Family Practice | CA | |
| - | CA | |
| - | CA | |
| U R O L O G Y | CA | |
| Internal Medicine, Hospitalist | CA | |
| - | CA | |
| Internal Medicine | CA | |
| Hospice/Palliative Care, Internal Medicine | CA | |
| Physician Assistant | CA |
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