MS. KIMBERLY ELLEN BOLDON (NP-C) – Nurse Practitioner, NPI 1083083638
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,196 NURSE PRACTITIONER in CT
Provider Addresses for MS. KIMBERLY ELLEN BOLDON (NP-C)
11 S MAIN ST
MIDDLETOWN, CT 064573656
Phone: (860) 347-4555
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 512 Open Payments records for all available years, with a total value of $8,443.
Total Amount is formed as General ($8,443) + Research ($0) + Ownership ($0) = $8,443.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Almirall LLC ($1,984).
Total Amount
$8,443
General + Research + Ownership
Payments
512
Total payment records
General Amount
$8,443
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Almirall LLC | $1,984 |
| Dermavant Sciences, Inc. | $1,611 |
| LEO Pharma Inc. | $1,247 |
| ABBVIE INC. | $830 |
| Amgen Inc. | $312 |
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: 2015-12-03
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 |
|---|---|---|---|---|
| I20151203002512 | I | Nurse Practitioner | CT | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 06457)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CT |
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