KACEY BOLTON (APRN) – Women's Health Nurse Practitioner, NPI 1194277129

KACEY BOLTON (APRN) is a healthcare provider. based in London, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3010817 (KY). The NPI Number for KACEY BOLTON (APRN) is 1194277129

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KACEY BOLTON (APRN)
NPI
1194277129
Phone
(606) 878-3240
Address
803 MEYERS BAKER RD
Enumeration Date
25 October 2016
Last Update Date
25 October 2016

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
6068783240
Graduation Year
2015 (11 years ago)
PAC ID
8022390665
Group Practice PAC ID
6204721566
Professional Enrollment ID
I20170117000392
Address ID
KY407413040LO803XXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

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Provider Addresses for KACEY BOLTON (APRN)

  • 803, Meyers Baker Road, London, Laurel County, Kentucky, 40741, United States

    SUITE 200

    LONDON, KY 407413039

    Phone: (606) 878-3240

    Fax: (606) 878-3245

    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 7 Open Payments records for all available years, with a total value of $116.

Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.

Last reported payment date: 2024-05-16 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($29).

Total Amount

$116

General + Research + Ownership

Payments

7

Total payment records

General Amount

$116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-01-17

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
I20170117000392INurse PractitionerKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40741)

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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: 6204721566View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YKY
Nurse PractitionerKY
O B S T E T R I C S/ G Y N E C O L O G YKY
Nurse PractitionerKY
Nurse PractitionerKY
-KY
-KY
Nurse PractitionerKY
Nurse PractitionerKY
O B S T E T R I C S/ G Y N E C O L O G YKY

Reviews

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Frequently asked questions

Does KACEY BOLTON (APRN) have a public NPI I can cite?
Public records show KACEY BOLTON (APRN) under NPI 1194277129.
Does the public listing show KACEY BOLTON (APRN) as active?
KACEY BOLTON (APRN)'s NPI record reflects an active status in NPPES.
How should patients interpret KACEY BOLTON (APRN)'s specialty?
The extract shows Women's Health Nurse Practitioner for KACEY BOLTON (APRN). Clinical services aligned with this taxonomy classification.
Can patients visit KACEY BOLTON (APRN) in London, Kentucky?
For routing, start with London, Kentucky for KACEY BOLTON (APRN), then verify phone and hours locally.
Can I export KACEY BOLTON (APRN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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