MR. GEORGE III BOLDRICK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1235677147

MR. GEORGE III BOLDRICK (CRNA) is a healthcare provider. based in Cincinnati, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. APRN CRNA 019457 (OH). The NPI Number for MR. GEORGE III BOLDRICK (CRNA) is 1235677147

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. GEORGE III BOLDRICK (CRNA)
NPI
1235677147
Phone
(513) 585-5502
Address
PO BOX 636256
Enumeration Date
10 February 2017
Last Update Date
26 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5028755240
Graduation Year
2016 (10 years ago)
PAC ID
1355628314
Group Practice PAC ID
6305750209
Professional Enrollment ID
I20240529001339
Address ID
KY406016514FR299XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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

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Provider Addresses for MR. GEORGE III BOLDRICK (CRNA)

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States

    CINCINNATI, OH 452636256

    Phone: (513) 585-5502

    Fax: (513) 585-5511

    Type: Mailing

  • University of Cincinnati Medical Center, 234, Goodman Street, Pill Hill, Corryville, Cincinnati, Hamilton County, Ohio, 45219-2364, United States

    CINCINNATI, OH 452192364

    Phone: (513) 558-4194

    Fax: (513) 558-0995

    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: 2024-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170501002180ICertified Registered Nurse Anesthetist (Crna)OHTBD
I20240529001339ICertified Registered Nurse Anesthetist (Crna)KYTBD

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: 6305750209View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
A N E S T H E S I O L O G YKY
-KY
Certified Registered Nurse Anesthetist (Crna)KY
A N E S T H E S I O L O G YKY
-AR
Certified Registered Nurse Anesthetist (Crna)KY
A N E S T H E S I O L O G YKY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY

Reviews

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Frequently asked questions

Can I cross-check MR. GEORGE III BOLDRICK (CRNA) using NPI 1235677147?
NPI 1235677147 belongs to MR. GEORGE III BOLDRICK (CRNA); compare other details if you need extra assurance.
Would MR. GEORGE III BOLDRICK (CRNA) appear as active to a payer?
You can treat MR. GEORGE III BOLDRICK (CRNA) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MR. GEORGE III BOLDRICK (CRNA)?
MR. GEORGE III BOLDRICK (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Ohio is MR. GEORGE III BOLDRICK (CRNA) registered?
Use Cincinnati, Ohio as the headline location for MR. GEORGE III BOLDRICK (CRNA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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