KENDRA BOLDT – Foot & Ankle Surgery Podiatrist, NPI 1700529013

KENDRA BOLDT is a healthcare provider. based in Cuyahoga falls, Ohio. specializing in PODIATRY. They hold a License No. 00000000000 (OH). The NPI Number for KENDRA BOLDT is 1700529013

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KENDRA BOLDT
NPI
1700529013
Phone
(330) 971-7225
Address
1900 23rd St
Enumeration Date
14 April 2022
Last Update Date
29 July 2025

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
3305919635
Graduation Year
2022 (4 years ago)
PAC ID
7214319607
Group Practice PAC ID
5698921229
Professional Enrollment ID
I20250807001001
Address ID
OH442569634ME784XXRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

953 PODIATRY in OH

Provider Addresses for KENDRA BOLDT

  • 1900 23rd St

    Cuyahoga Falls, OH 442231404

    Phone: (330) 971-7225

    Type: Location

  • 3800 ROSEMONT BLVD APT 114C

    AKRON, OH 443339250

    Phone: (330) 806-2830

    Type: Mailing

  • 1900 23RD ST

    CUYAHOGA FALLS, OH 442231404

    Phone: (330) 971-7225

    Type: Location

  • 784 MEDINA RD STE 107

    MEDINA, OH 442569634

    Phone: (330) 591-9635

    Fax: (330) 591-4150

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $991.

Total Amount is formed as General ($991) + Research ($0) + Ownership ($0) = $991.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Kerecis Limited ($295).

Total Amount

$991

General + Research + Ownership

Payments

12

Total payment records

General Amount

$991

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-08-07

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
I20250807001001IPodiatryOHTBD

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 44223)

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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: 5698921229View full group profile
NameSpecialtyState
Nurse PractitionerOH
P O D I A T R YOH
Nurse PractitionerOH
P O D I A T R YOH
P O D I A T R YOH
P O D I A T R YOH
P O D I A T R YOH

Reviews

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Frequently asked questions

How do payers reference KENDRA BOLDT?
For KENDRA BOLDT, use NPI 1700529013 as the unique 10-digit identifier.
Would KENDRA BOLDT appear as active to a payer?
You can treat KENDRA BOLDT as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for KENDRA BOLDT?
At a glance, KENDRA BOLDT is tied to Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is KENDRA BOLDT located near Cuyahoga Falls?
KENDRA BOLDT currently maps to Cuyahoga Falls, Ohio in this extract.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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