DEREK BOLALIN (CRNP) – Family Nurse Practitioner, NPI 1326735002
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,767 NURSE PRACTITIONER in MD
Provider Addresses for DEREK BOLALIN (CRNP)
826 WASHINGTON RD STE 110A
WESTMINSTER, MD 211575779
Phone: (619) 252-1730
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 4 Open Payments records for all available years, with a total value of $224.
Total Amount is formed as General ($224) + Research ($0) + Ownership ($0) = $224.
Last reported payment date: 2024-06-15 • Largest payer in this snapshot: Corium, LLC ($126).
Total Amount
$224
General + Research + Ownership
Payments
4
Total payment records
General Amount
$224
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corium, LLC | $126 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $43 |
| Gilead Sciences, Inc. | $33 |
| Braeburn Inc. | $22 |
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: 2023-08-08
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 |
|---|---|---|---|---|
| I20230808002343 | I | Nurse Practitioner | MD | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 46 | 45 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 23 | 23 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 12 | 12 | $0 |
Insurance plans in this area (ZIP 21157)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Physician Assistant | AR | |
| Nurse Practitioner | MD | |
| Physician Assistant | MD | |
| - | MD | |
| Nurse Practitioner | MD | |
| - | CA | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | MD | |
| Family Practice, Emergency Medicine | MD |
Reviews
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