SHANTEL LANIECE BOLTON (APRN) – Family Nurse Practitioner, NPI 1487112603

SHANTEL LANIECE BOLTON (APRN) is a healthcare provider. based in Sapulpa, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 95457 (OK). The NPI Number for SHANTEL LANIECE BOLTON (APRN) is 1487112603

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SHANTEL LANIECE BOLTON (APRN)
NPI
1487112603
Phone
(918) 277-1000
Address
1021 E BRYAN AVE
Enumeration Date
6 March 2019
Last Update Date
22 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184937800
Graduation Year
2018 (8 years ago)
PAC ID
3173857737
Group Practice PAC ID
9436122496
Professional Enrollment ID
I20190702000646
Address ID
OK741366836TU7600XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

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Provider Addresses for SHANTEL LANIECE BOLTON (APRN)

  • 1021, East Bryan Avenue, Sapulpa, Creek County, Oklahoma, 74066, United States

    SAPULPA, OK 740664512

    Phone: (918) 277-1000

    Fax: (918) 403-6314

    Type: Mailing

  • 7600 S LEWIS AVE

    TULSA, OK 741366836

    Phone: (539) 399-3410

    Fax: (539) 399-3419

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $561.

Total Amount is formed as General ($561) + Research ($0) + Ownership ($0) = $561.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Abbott Laboratories ($268).

Total Amount

$561

General + Research + Ownership

Payments

17

Total payment records

General Amount

$561

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2019-07-02

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
I20190702000646INurse PractitionerOKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes11998$0
99213Established patient office or other outpatient visit, 20-29 minutes11695$0
81003Automated urinalysis test2522$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2424$0
71046X-ray of chest, 2 views1414$0
View full utilization report →

Insurance plans in this area (ZIP 74066)

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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: 9436122496View full group profile
NameSpecialtyState
-OK
-MT
Family PracticeOK
-OK
Physician AssistantOK
O B S T E T R I C S/ G Y N E C O L O G YOK
U R O L O G YOK
Orthopedic SurgeryOK
Physician AssistantOK
Family PracticeOK

Reviews

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Frequently asked questions

What NPI should I save for SHANTEL LANIECE BOLTON (APRN)?
Save NPI 1487112603 if you need a stable reference for SHANTEL LANIECE BOLTON (APRN).
Is SHANTEL LANIECE BOLTON (APRN) currently active in the NPI registry?
CMS-published data lists SHANTEL LANIECE BOLTON (APRN) as an active registrant.
Does SHANTEL LANIECE BOLTON (APRN) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for SHANTEL LANIECE BOLTON (APRN). Clinical services aligned with this taxonomy classification.
Where does public data place SHANTEL LANIECE BOLTON (APRN)?
The snapshot lists Sapulpa, Oklahoma for SHANTEL LANIECE BOLTON (APRN); download NPPES for the complete set.
What if Sapulpa, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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