CYNTHIA MARY BOLOGNA (APRN) – Nurse Practitioner, NPI 1699186650

CYNTHIA MARY BOLOGNA (APRN) is a healthcare provider. based in Fort myers, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN9273226 (FL). The NPI Number for CYNTHIA MARY BOLOGNA (APRN) is 1699186650

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
CYNTHIA MARY BOLOGNA (APRN)
NPI
1699186650
Phone
(239) 274-8200
Address
4371 VERONICA S SHOEMAKER BLVD
Enumeration Date
13 May 2014
Last Update Date
24 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4073035600
Graduation Year
2013 (13 years ago)
PAC ID
3678791258
Group Practice PAC ID
0042383200
Professional Enrollment ID
I20140822001361
Address ID
FL328031248OR601XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:12State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for CYNTHIA MARY BOLOGNA (APRN)

  • 4371 VERONICA S SHOEMAKER BLVD

    ATTN: CREDENTIALING DEPT.

    FORT MYERS, FL 339162216

    Phone: (239) 274-8200

    Fax: (239) 278-3350

    Type: Mailing

  • 1920 DON WICKHAM DR STE 305

    CLERMONT, FL 347111977

    Phone: (352) 394-1150

    Fax: (352) 394-1560

    Type: Location

  • PO BOX 102222

    ATTN: CREDENTIALING DEPT.

    ATLANTA, GA 303682222

    Phone: (239) 274-8200

    Fax: (239) 278-3350

    Type: Mailing

  • 601 E ALTAMONTE DR STE 100

    ALTAMONTE SPRINGS, FL 327014802

    Phone: (407) 303-5600

    Fax: (317) 705-5047

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $460.

Total Amount is formed as General ($460) + Research ($0) + Ownership ($0) = $460.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($122).

Total Amount

$460

General + Research + Ownership

Payments

17

Total payment records

General Amount

$460

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2014-08-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140822001361INurse PractitionerFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3130$0
View full utilization report →

Insurance plans in this area (ZIP 33916)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042383200View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic RadiologyMI
Radiation OncologyFL
-MN
Diagnostic RadiologyMA
Diagnostic Radiology, Interventional RadiologyFL
Radiation OncologyWA
-FL
-FL
Interventional RadiologyFL

Reviews

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Frequently asked questions

How is CYNTHIA MARY BOLOGNA (APRN) identified in CMS data?
CMS-hosted NPPES data lists CYNTHIA MARY BOLOGNA (APRN) with NPI 1699186650.
Does the file indicate CYNTHIA MARY BOLOGNA (APRN) is practicing under active NPI?
Directory data currently reports CYNTHIA MARY BOLOGNA (APRN) as active.
What taxonomy line describes CYNTHIA MARY BOLOGNA (APRN)?
For research purposes, treat CYNTHIA MARY BOLOGNA (APRN) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect CYNTHIA MARY BOLOGNA (APRN) on a map?
Expect Fort Myers, Florida as a primary anchor for CYNTHIA MARY BOLOGNA (APRN) unless the record lists multiple sites.
Why does CYNTHIA MARY BOLOGNA (APRN) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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