DR. JENA MICHELLE BOLTE – Certified Registered Nurse Anesthetist, NPI 1063037521

DR. JENA MICHELLE BOLTE is a healthcare provider. based in Cincinnati, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 402199 (OH). The NPI Number for DR. JENA MICHELLE BOLTE is 1063037521

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENA MICHELLE BOLTE
NPI
1063037521
Phone
(859) 341-2666
Address
PO BOX 632572
Enumeration Date
10 June 2020
Last Update Date
23 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5138622432
Graduation Year
2020 (6 years ago)
PAC ID
8224451687
Group Practice PAC ID
1254245137
Professional Enrollment ID
I20200702000858
Address ID
OH452202475CI375XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

Provider Addresses for DR. JENA MICHELLE BOLTE

  • PO BOX 632572

    CINCINNATI, OH 452632572

    Phone: (859) 341-2666

    Fax: (859) 341-7867

    Type: Mailing

  • 375 DIXMYTH AVE

    CINCINNATI, OH 452202475

    Phone: (513) 862-2432

    Fax: (513) 862-8857

    Type: Location

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: 2020-07-02

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
I20200702000858ICertified Registered Nurse Anesthetist (Crna)OHTBD

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 45263)

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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: 1254245137View full group profile
NameSpecialtyState
-NC
-KY
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)WA
-PA
A N E S T H E S I O L O G YKY
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

How do I look up DR. JENA MICHELLE BOLTE by NPI?
Use NPI 1063037521 when you need to reference DR. JENA MICHELLE BOLTE in forms, claims, or directories.
Does this profile mean DR. JENA MICHELLE BOLTE is currently active?
Yes — DR. JENA MICHELLE BOLTE appears active in the national provider directory.
Does DR. JENA MICHELLE BOLTE list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for DR. JENA MICHELLE BOLTE. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JENA MICHELLE BOLTE?
The page summarizes Cincinnati, Ohio for DR. JENA MICHELLE BOLTE; expand the address list for detail.
What if Cincinnati, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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