MRS. STACYLYNNE BOLKS (FNP-BC) – Family Nurse Practitioner, NPI 1356684377
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
Provider Addresses for MRS. STACYLYNNE BOLKS (FNP-BC)
1 MEDICAL CENTER BLVD
SUITE 324 POB 2
CHESTER, PA 190133902
Phone: (610) 876-0347
Type: Mailing
3803 W CHESTER PIKE STE 160
NEWTOWN SQUARE, PA 190732336
Phone: (610) 642-3005
Fax: (610) 642-3057
Type: Mailing
300 Evergreen Dr Ste 200
Glen Mills, PA 193421059
Phone: (610) 876-0347
Type: Location
100 E LANCASTER AVE
SUITE 280 MEDICAL SCIENCE BUILDING
WYNNEWOOD, PA 190963450
Phone: (610) 642-3005
Fax: (610) 642-3057
Type: Location
300 EVERGREEN DR STE 200
GLEN MILLS, PA 193421059
Phone: (610) 876-0347
Type: Mailing
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: 2023-12-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140630001916 | I | Nurse Practitioner | PA | TBD |
| I20231205001505 | I | Nurse Practitioner | DE | 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 |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 170 | 71 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 47 | 43 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 37 | 34 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 26 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 19 | $0 |
Insurance plans in this area (ZIP 19013)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | PA | |
| Diagnostic Radiology | IN | |
| - | PA | |
| - | PA | |
| Physical Therapist In Private Practice | PA | |
| Orthopedic Surgery | PA | |
| Occupational Therapist In Private Practice | ME | |
| - | PA | |
| - | PA | |
| - | PA |
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