TARA DAWN BOLAND (NP) – Nurse Practitioner, NPI 1417519018
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
6,767 NURSE PRACTITIONER in MD
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Provider Addresses for TARA DAWN BOLAND (NP)
Maple Lawn Boulevard, Maple Lawn, Scaggsville, Howard County, Maryland, 20759, United States
FULTON, MD 207592694
Phone: (301) 340-8339
Fax: (301) 340-9027
Type: Mailing
West Road, Stoneridge, Towson, Baltimore County, Maryland, 21204, United States
TOWSON, MD 21204
Phone: (410) 832-5511
Fax: (410) 832-5560
Type: Location
605 S 75TH ST
BROKEN ARROW, OK 740147080
Phone: (918) 688-2970
Type: Mailing
110 W 7TH ST STE 2520
TULSA, OK 741191104
Phone: (185) 793-8269
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $31.
Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.
Last reported payment date: 2023-04-25 • Largest payer in this snapshot: Organon LLC ($31).
Total Amount
$31
General + Research + Ownership
Payments
2
Total payment records
General Amount
$31
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $31 |
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: 2025-03-26
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 |
|---|---|---|---|---|
| I20250326001860 | I | Nurse Practitioner | OK | 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 20759)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| - | MT | |
| Family Practice | OK | |
| - | OK | |
| Physician Assistant | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| U R O L O G Y | OK | |
| Orthopedic Surgery | OK | |
| Physician Assistant | OK | |
| Family Practice | OK |
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