KASEY L BOLTON (PNP) – Nurse Practitioner, NPI 1184754210

KASEY L BOLTON (PNP) is a healthcare provider. based in Gainesville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials PNP. They hold a License No. RN134351 (GA). The NPI Number for KASEY L BOLTON (PNP) is 1184754210

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KASEY L BOLTON (PNP)
NPI
1184754210
Phone
(770) 297-7277
Address
1250 JESSE JEWELL PKWY SE
Enumeration Date
7 March 2007
Last Update Date
7 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702977277
Graduation Year
2003 (23 years ago)
PAC ID
0244558963
Group Practice PAC ID
9931151032
Professional Enrollment ID
I20210316002704
Address ID
GA305181715BU5005XPKWY501

Contacts

Secure Messaging
kbolton@nspc.emadirect.md
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

9,652 NURSE PRACTITIONER in GA

Provider Addresses for KASEY L BOLTON (PNP)

  • 1250 JESSE JEWELL PKWY SE

    STE 200

    GAINESVILLE, GA 305013871

    Phone: (770) 297-7277

    Type: Location

  • 200 South Enota Drive

    Suite 150

    Gainesville, GA 30501

    Phone: (770) 534-5255

    Fax: (770) 287-3871

    Type: Location

  • 200 S ENOTA DR NE

    SUITE 150

    GAINESVILLE, GA 305013473

    Phone: (770) 534-5255

    Fax: (770) 287-3871

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $327.

Total Amount is formed as General ($327) + Research ($0) + Ownership ($0) = $327.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Boston Scientific Corporation ($120).

Total Amount

$327

General + Research + Ownership

Payments

13

Total payment records

General Amount

$327

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

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: 2021-03-16

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210316002704INurse PractitionerGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes553423$0
80307Testing for presence of drug, by chemistry analyzers207188$0
G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms200183$0
99213Established patient office or other outpatient visit, 20-29 minutes123107$0
View full utilization report →

Insurance plans in this area (ZIP 30501)

Loading plans...

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: 9931151032View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
-GA
Nurse PractitionerGA
Physical Medicine And RehabilitationIN
Interventional Pain Management, AnesthesiologyGA
Nurse PractitionerGA
-GA
Nurse PractitionerMD
Interventional Pain ManagementGA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for KASEY L BOLTON (PNP)?
The registry entry for KASEY L BOLTON (PNP) shows NPI 1184754210.
Should I treat KASEY L BOLTON (PNP) as an active provider?
Patients and plans typically see KASEY L BOLTON (PNP) as active in the national extract.
How should patients interpret KASEY L BOLTON (PNP)'s specialty?
The extract shows Nurse Practitioner for KASEY L BOLTON (PNP). Clinical services aligned with this taxonomy classification.
Can patients visit KASEY L BOLTON (PNP) in Gainesville, Georgia?
For routing, start with Gainesville, Georgia for KASEY L BOLTON (PNP), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

MICHELE SHOOK (FNP)

Family Nurse Practitioner
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
NPI: 1841296563

LAUREN B TAMPLIN (FNP)

Family Nurse Practitioner
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
NPI: 1700882446

MARK D CLARK (FNP)

Acute Care Nurse Practitioner
PO BOX 658
NPI: 1285631887
4000 VILLAGE VIEW DRIVE
NPI: 1497739429

KATHERINE POWE DEAVERS (RN, MS, FNP)

Family Nurse Practitioner
801 Austin Dr
NPI: 1760466783
Thompson Mill Road, Gainesville, Hall County, Georgia, 30501, United States
NPI: 1205810249