MELISSA A BOLL (CNM) – Midwife, NPI 1124080775
Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MELISSA A BOLL (CNM)
5121 S COTTONWOOD ST # 170
MURRAY, UT 841075701
Phone: (801) 507-7070
Fax: (801) 507-7089
Type: Mailing
6975 S UNION PARK CTR
COTTONWOOD HEIGHTS, UT 840476048
Phone: (888) 731-8994
Fax: (833) 775-1861
Type: Mailing
111 N Orange Ave Ste 800
Orlando, FL 328012381
Phone: (888) 731-8994
Type: Location
20 S 3rd St Ste 210
Columbus, OH 432154206
Phone: (888) 731-8994
Type: Location
195 Page Mill Rd
Palo Alto, CA 943062072
Phone: (801) 731-8994
Fax: (833) 755-1861
Type: Location
One Sun Plaza 100 Sun Ave
Suite 650
Albuquerque, NM 87109
Phone: (888) 731-8994
Fax: (833) 775-1861
Type: Location
6975 S UNION PARK CTR STE 600
COTTONWOOD HEIGHTS, UT 840474187
Phone: (888) 731-8994
Fax: (888) 732-8119
Type: Location
Cottonwood Street, Murray, Salt Lake County, Utah, 84107, United States
MURRAY, UT 841075701
Phone: (801) 507-7070
Fax: (801) 507-7089
Type: Location
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: 2004-10-19
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 |
|---|---|---|---|---|
| I20041019001194 | I | Certified Nurse Midwife (Cnm) | UT | 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 84107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | UT | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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