SIERRA BOLLES (PA-C) – Physician Assistant, NPI 1881178655
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for SIERRA BOLLES (PA-C)
3584 WEST 90000 SOUTH SUITE 304
WEST JORDAN, UT 84088
Phone: (801) 601-4423
Type: Location
1416, Lancelot Drive, Rivergrove, Provo, Utah County, Utah, 84601, United States
PROVO, UT 846011314
Phone: (503) 798-7121
Type: Mailing
3336 SOUTH 4155 WEST #102
WEST VALLEY, UT 84120
Phone: (801) 964-3925
Type: Mailing
7181 S CAMPUS VIEW DR STE 200
WEST JORDAN, UT 840844312
Phone: (801) 965-3505
Type: Mailing
1551 RENAISSANCE TOWNE DR STE 370
BOUNTIFUL, UT 840107675
Phone: (801) 965-3600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $1,628.
Total Amount is formed as General ($1,628) + Research ($0) + Ownership ($0) = $1,628.
Last reported payment date: 2024-11-16 • Largest payer in this snapshot: Boston Scientific Corporation ($1,572).
Total Amount
$1,628
General + Research + Ownership
Payments
9
Total payment records
General Amount
$1,628
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $1,572 |
| GENZYME CORPORATION | $21 |
| BioCryst US Sales Co., LLC | $20 |
| Novartis Pharmaceuticals Corporation | $15 |
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: 2019-05-14
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 |
|---|---|---|---|---|
| I20190514003090 | I | Physician Assistant | 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 84088)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| Radiation Oncology | TX | |
| - | CO | |
| Hospitalist, General Practice, Family Practice | CO | |
| Cardiovascular Disease (Cardiology) | NM | |
| Family Practice | OK | |
| Internal Medicine | CO | |
| - | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | TX | |
| Internal Medicine | PA |
Reviews
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