MRS. SHEILA ROLANDA GAMBOA BOLANOS (NP-C, FNP-BC) – Family Nurse Practitioner, NPI 1326307950
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,763 NURSE PRACTITIONER in MD
Provider Addresses for MRS. SHEILA ROLANDA GAMBOA BOLANOS (NP-C, FNP-BC)
11625 CUSTER ROAD
SUITE 110 #315
FRISCO, TX 750358784
Phone: (972) 366-5533
Fax: (888) 859-0497
Type: Mailing
7505 OSLER DR STE 204
TOWSON, MD 212047737
Phone: (443) 519-5353
Type: Location
10105 COOLIDGE DR
MCKINNEY, TX 750708804
Phone: (972) 547-9735
Fax: (888) 859-0497
Type: Location
2525 CENTERVILLE RD
DALLAS, TX 752282634
Phone: (972) 366-5533
Fax: (888) 859-0497
Type: Location
2391 GREENSPRING DR
TIMONIUM, MD 210933166
Phone: (410) 847-3000
Type: Location
1701 Twin Springs Rd
Halethorpe, MD 212273553
Phone: (410) 737-5000
Type: Location
13 HEWETSON CT
LUTHERVILLE TIMONIUM, MD 210937401
Phone: (469) 638-4278
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: 2024-04-16
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 |
|---|---|---|---|---|
| I20240223001552 | I | Nurse Practitioner | CA | TBD |
| I20240416002861 | I | Nurse Practitioner | MD | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75035)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | MD | |
| - | MD | |
| Internal Medicine | VA | |
| Family Practice | VA | |
| Family Practice | VA | |
| - | MD | |
| - | MD | |
| Family Practice | WV | |
| - | GA | |
| - | MD |
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