MR. JOSHUA LEE BOLWERK (APRN) – Acute Care Nurse Practitioner, NPI 1922811231

MR. JOSHUA LEE BOLWERK (APRN) is a healthcare provider. based in Manvel, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 1172154 (TX). The NPI Number for MR. JOSHUA LEE BOLWERK (APRN) is 1922811231

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOSHUA LEE BOLWERK (APRN)
NPI
1922811231
Phone
(903) 241-1924
Address
10106 STARRY NIGHT LN
Enumeration Date
30 January 2025
Last Update Date
30 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7134653535
Graduation Year
2023 (3 years ago)
PAC ID
4385163179
Group Practice PAC ID
7012008360
Professional Enrollment ID
I20250523002490
Address ID
TX770432744HO1140XDRXX404
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MR. JOSHUA LEE BOLWERK (APRN)

  • 10106 STARRY NIGHT LN

    MANVEL, TX 775781809

    Phone: (903) 241-1924

    Mailing address matches the actual address.

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: 2025-05-23

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
I20250523002490INurse PractitionerTXTBD

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 77578)

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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: 7012008360View full group profile

Reviews

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Frequently asked questions

Where can patients find MR. JOSHUA LEE BOLWERK (APRN)'s NPI?
You can confirm MR. JOSHUA LEE BOLWERK (APRN) with NPI 1922811231; it appears in the national provider directory.
Is MR. JOSHUA LEE BOLWERK (APRN)'s NPI currently valid?
The extract we use shows MR. JOSHUA LEE BOLWERK (APRN) as active.
Does MR. JOSHUA LEE BOLWERK (APRN) list a primary specialty?
If you are matching referrals, note Acute Care Nurse Practitioner for MR. JOSHUA LEE BOLWERK (APRN). Clinical services aligned with this taxonomy classification.
What location shows for MR. JOSHUA LEE BOLWERK (APRN)?
We surface Manvel, Texas for MR. JOSHUA LEE BOLWERK (APRN) based on available NPPES addresses.
What if Manvel, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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