AMY MICHELLE BOLEN (FNP-C) – Family Nurse Practitioner, NPI 1821441833
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
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Provider Addresses for AMY MICHELLE BOLEN (FNP-C)
4025, Montezuma Place, Kettering, Montgomery County, Ohio, 45440, United States
KETTERING, OH 454401125
Phone: (937) 901-8832
Type: Mailing
601, South Edwin C. Moses Boulevard, Dayton, Montgomery County, Ohio, 45402, United States
DAYTON, OH 454173424
Phone: (937) 734-8333
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $1,391.
Total Amount is formed as General ($1,391) + Research ($0) + Ownership ($0) = $1,391.
Last reported payment date: 2024-04-30 • Largest payer in this snapshot: Lilly USA, LLC ($901).
Total Amount
$1,391
General + Research + Ownership
Payments
14
Total payment records
General Amount
$1,391
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $901 |
| ACADIA Pharmaceuticals Inc | $244 |
| Teva Pharmaceuticals USA, Inc. | $125 |
| Neurocrine BioSciences, Inc. | $121 |
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: 2016-09-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160926001974 | I | Nurse Practitioner | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 99 | 45 | $0 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 46 | 34 | $0 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 37 | 35 | $0 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 20 | 13 | $0 |
| 99497 | Advance care planning, first 30 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 45440)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | MO | |
| - | TN | |
| Family Practice | OH | |
| Internal Medicine | VA | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | MO |
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