CARRIE L. BOLANDER (D.O.) – Obstetrics & Gynecology Physician, NPI 1356348775

CARRIE L. BOLANDER (D.O.) is a healthcare provider. based in Augusta, Maine. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. 1472 (ME). The NPI Number for CARRIE L. BOLANDER (D.O.) is 1356348775

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
CARRIE L. BOLANDER (D.O.)
NPI
1356348775
Phone
(207) 626-1561
Address
15 E CHESTNUT ST
Enumeration Date
30 June 2005
Deactivation Date
20 March 2006
Reactivation Date
5 April 2006
Last Update Date
18 August 2015

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2076261870
Graduation Year
1990 (36 years ago)
PAC ID
8820066624
Group Practice PAC ID
1254245715
Professional Enrollment ID
I20040920000879
Address ID
ME043305736AU15XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

214 OBSTETRICS/GYNECOLOGY in ME

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Provider Addresses for CARRIE L. BOLANDER (D.O.)

  • 15, Chestnut Street, Augusta, Kennebec County, Maine, 04330, United States

    AUGUSTA, ME 043305736

    Phone: (207) 626-1561

    Fax: (207) 626-1849

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-09-20

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
I20040920000879IObstetrics/GynecologyMETBD

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 04330)

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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: 1254245715View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for CARRIE L. BOLANDER (D.O.)?
CARRIE L. BOLANDER (D.O.) — NPI 1356348775 — is the standard way to identify this listing.
Can I rely on CARRIE L. BOLANDER (D.O.) being an active provider?
As of the registry snapshot, CARRIE L. BOLANDER (D.O.) is marked active.
What is CARRIE L. BOLANDER (D.O.)'s specialty?
The listing groups CARRIE L. BOLANDER (D.O.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect CARRIE L. BOLANDER (D.O.) on a map?
Expect Augusta, Maine as a primary anchor for CARRIE L. BOLANDER (D.O.) unless the record lists multiple sites.
Is the information about CARRIE L. BOLANDER (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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