JUDITH RENE BOLAND (RN, MSN, ACNS-BC) – Adult Health Clinical Nurse Specialist, NPI 1114151461

JUDITH RENE BOLAND (RN, MSN, ACNS-BC) is a healthcare provider. based in Marshall, Missouri. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials RN, MSN, ACNS-BC. They hold a License No. 145142 (MO). The NPI Number for JUDITH RENE BOLAND (RN, MSN, ACNS-BC) is 1114151461

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
JUDITH RENE BOLAND (RN, MSN, ACNS-BC)
NPI
1114151461
Phone
(660) 886-7431
Address
2305 SOUTH 65 HIGHWAY
Enumeration Date
14 May 2009
Last Update Date
28 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6608268833
Graduation Year
2008 (18 years ago)
PAC ID
9335291855
Group Practice PAC ID
6103714126
Professional Enrollment ID
I20090715000045
Address ID
MO653015972SE601XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

62 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in MO

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Provider Addresses for JUDITH RENE BOLAND (RN, MSN, ACNS-BC)

  • 65, Marshall Drive, Stapleford, Bramcote, Nottingham, Nottinghamshire, East Midlands, England, NG9 3LE, United Kingdom

    P.O. BOX 250

    MARSHALL, MO 653403702

    Phone: (660) 886-7431

    Fax: (660) 886-9001

    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 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Dexcom, Inc. ($22).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dexcom, Inc.$22
Novo Nordisk Inc$16
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: 2009-07-15

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
I20090715000045ICertified Clinical Nurse Specialist (Cns)MOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4924$0
View full utilization report →

Insurance plans in this area (ZIP 65340)

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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: 6103714126View full group profile
NameSpecialtyState
Internal MedicineMO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
-MO
A N E S T H E S I O L O G YKS
A N E S T H E S I O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YAR
Hematology/Oncology, Internal MedicineMO
Family PracticeMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the registry number for JUDITH RENE BOLAND (RN, MSN, ACNS-BC)?
The registry entry for JUDITH RENE BOLAND (RN, MSN, ACNS-BC) shows NPI 1114151461.
Does the public listing show JUDITH RENE BOLAND (RN, MSN, ACNS-BC) as active?
JUDITH RENE BOLAND (RN, MSN, ACNS-BC)'s NPI record reflects an active status in NPPES.
Which specialty label fits JUDITH RENE BOLAND (RN, MSN, ACNS-BC)?
NPPES ties JUDITH RENE BOLAND (RN, MSN, ACNS-BC) to Adult Health Clinical Nurse Specialist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JUDITH RENE BOLAND (RN, MSN, ACNS-BC)?
JUDITH RENE BOLAND (RN, MSN, ACNS-BC) is associated with Marshall, Missouri in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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