THELMA LYNN YOUNG-BOLDEN (RN, MSN, CS) – Adult Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1316910367
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
60 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in IN
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Provider Addresses for THELMA LYNN YOUNG-BOLDEN (RN, MSN, CS)
4323, East 3rd Street, Bloomington, Monroe County, Indiana, 47401, United States
BLOOMINGTON, IN 474015551
Phone: (812) 334-3342
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 93 Open Payments records for all available years, with a total value of $2,834.
Total Amount is formed as General ($2,834) + Research ($0) + Ownership ($0) = $2,834.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($461).
Total Amount
$2,834
General + Research + Ownership
Payments
93
Total payment records
General Amount
$2,834
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $461 |
| ITI, Inc. | $358 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $348 |
| Janssen Pharmaceuticals, Inc | $278 |
| Alkermes, Inc. | $150 |
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: 2005-02-10
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 |
|---|---|---|---|---|
| I20050210000584 | I | Certified Clinical Nurse Specialist (Cns) | IN | 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 47401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IN | |
| - | IN | |
| - | KY | |
| - | MI | |
| Mental Health Counselor | IN | |
| - | IN | |
| - | IN | |
| Clinical Social Worker | IN | |
| Clinical Social Worker | IN | |
| Mental Health Counselor | IN |
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