MARIA B BOLONSKI (APN) – Acute Care Nurse Practitioner, NPI 1124835202

MARIA B BOLONSKI (APN) is a healthcare provider. based in Atlantic city, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 26NJ15079900 (NJ). The NPI Number for MARIA B BOLONSKI (APN) is 1124835202

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MARIA B BOLONSKI (APN)
NPI
1124835202
Phone
(609) 345-4000
Address
1925 PACIFIC AVE
Enumeration Date
12 December 2024
Last Update Date
12 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8563450444
Graduation Year
2023 (3 years ago)
PAC ID
6507395639
Group Practice PAC ID
3476711508
Professional Enrollment ID
I20250117003031
Address ID
NJ080212502CL244XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for MARIA B BOLONSKI (APN)

  • 1925 PACIFIC AVE

    ATLANTIC CITY, NJ 084016713

    Phone: (609) 345-4000

    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: 2025-01-17

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
I20250117003031INurse PractitionerNJTBD

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 08401)

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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: 3476711508View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

Can I use this page to confirm MARIA B BOLONSKI (APN)'s NPI?
Yes. MARIA B BOLONSKI (APN) is listed with NPI 1124835202 in the public NPI dataset.
Can I rely on MARIA B BOLONSKI (APN) being an active provider?
As of the registry snapshot, MARIA B BOLONSKI (APN) is marked active.
What is MARIA B BOLONSKI (APN)'s primary classification?
Acute Care Nurse Practitioner is the headline specialty for MARIA B BOLONSKI (APN) here. Clinical services aligned with this taxonomy classification.
Where should I expect MARIA B BOLONSKI (APN) on a map?
Expect Atlantic City, New Jersey as a primary anchor for MARIA B BOLONSKI (APN) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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