MRS. CANDICE M BOLLING (P.A.-C) – Physician Assistant, NPI 1477736684

MRS. CANDICE M BOLLING (P.A.-C) is a healthcare provider. based in St paul, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C. They hold a License No. 0110002673 (VA). The NPI Number for MRS. CANDICE M BOLLING (P.A.-C) is 1477736684

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CANDICE M BOLLING (P.A.-C)
NPI
1477736684
Phone
(276) 762-2300
Address
16431 WISE ST
Enumeration Date
11 December 2007
Last Update Date
26 February 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
2767622300
Graduation Year
2007 (19 years ago)
PAC ID
5092892919
Group Practice PAC ID
6002726718
Professional Enrollment ID
I20080402000687
Address ID
VA242833537SA16431STXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

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Provider Addresses for MRS. CANDICE M BOLLING (P.A.-C)

  • St. Paul, Wise County, Virginia, United States

    ST PAUL, VA 24283

    Phone: (276) 762-2300

    Fax: (276) 762-0612

    Type: Mailing

  • 1021 W OAKLAND AVE STE 310

    JOHNSON CITY, TN 376042192

    Phone: (423) 302-6565

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $1,026.

Total Amount is formed as General ($1,026) + Research ($0) + Ownership ($0) = $1,026.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novo Nordisk Inc ($168).

Total Amount

$1,026

General + Research + Ownership

Payments

56

Total payment records

General Amount

$1,026

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2008-04-02

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
I20080402000687IPhysician AssistantVATBD

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 24283)

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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: 6002726718View full group profile
NameSpecialtyState
Mental Health CounselorVA
Clinical Social WorkerVA
-TN
-TN
Nurse PractitionerTN
Nurse PractitionerTN
H E M A T O L O G Y/ O N C O L O G YTN
Nurse PractitionerTN
Nurse PractitionerNC
Nurse PractitionerTN

Reviews

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Frequently asked questions

Can I verify MRS. CANDICE M BOLLING (P.A.-C) with an NPI only?
You can start verification with NPI 1477736684 for MRS. CANDICE M BOLLING (P.A.-C), then check state licensing separately.
Does the file indicate MRS. CANDICE M BOLLING (P.A.-C) is practicing under active NPI?
Directory data currently reports MRS. CANDICE M BOLLING (P.A.-C) as active.
What taxonomy line describes MRS. CANDICE M BOLLING (P.A.-C)?
For research purposes, treat MRS. CANDICE M BOLLING (P.A.-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does MRS. CANDICE M BOLLING (P.A.-C) list a practice location?
Patients near St Paul, Virginia may find MRS. CANDICE M BOLLING (P.A.-C) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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