CHRISTINE LAVERNE BOLDEN (APRN, CNP) – Adult Health Nurse Practitioner, NPI 1265919112
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for CHRISTINE LAVERNE BOLDEN (APRN, CNP)
675 N Saint Clair St Ste 19-100
Chicago, IL 606115969
Phone: (312) 664-3278
Fax: (312) 695-5774
Type: Location
10 MARTIN AVE STE 200
NAPERVILLE, IL 605406535
Phone: (630) 600-0700
Fax: (630) 600-0701
Type: Mailing
3880 SALEM LAKE DR STE F
LONG GROVE, IL 600475292
Phone: (847) 719-2220
Type: Mailing
801 S WASHINGTON ST FL 4
NAPERVILLE, IL 605407430
Phone: (630) 600-0700
Fax: (630) 600-0701
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $96.
Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.
Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Abbott Laboratories ($48).
Total Amount
$96
General + Research + Ownership
Payments
4
Total payment records
General Amount
$96
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $48 |
| ABIOMED | $28 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $20 |
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: 2018-10-30
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 |
|---|---|---|---|---|
| I20181030001456 | I | Nurse Practitioner | IL | 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 60611)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IL | |
| Nurse Practitioner | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IL | |
| Nurse Practitioner | IL | |
| Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology) | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IL | |
| Nurse Practitioner | IL |
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