MRS. CAROL ANN BOLT (PA) – Physician Assistant, NPI 1265468425
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,285 PHYSICIAN ASSISTANT in WA
Provider Addresses for MRS. CAROL ANN BOLT (PA)
4519 GRANDVIEW RD
BLAINE, WA 982309640
Phone: (360) 371-1307
Fax: (360) 371-0276
Type: Location
600, Russell Street, Craig, Moffat County, Colorado, 81625, United States
CRAIG, CO 81625
Phone: (970) 824-3252
Type: Location
750 HOSPITAL LOOP
CRAIG, CO 816258750
Phone: (970) 824-9941
Type: Location
The Memorial Hospital, 750, Hospital Loop, Craig, Moffat County, Colorado, 81625, United States
CRAIG, CO 816258750
Phone: (970) 824-9411
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $105.
Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.
Last reported payment date: 2023-07-25 • Largest payer in this snapshot: Medtronic, Inc. ($38).
Total Amount
$105
General + Research + Ownership
Payments
6
Total payment records
General Amount
$105
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $38 |
| Astellas Pharma US Inc | $20 |
| ABBVIE INC. | $18 |
| Gilead Sciences, Inc. | $16 |
| Exact Sciences Corporation | $14 |
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: 2016-02-17
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 |
|---|---|---|---|---|
| I20160217001406 | I | Physician Assistant | CO | 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 98230)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | CO | |
| Physician Assistant | UT | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | CO | |
| - | CO | |
| Thoracic Surgery | ID | |
| - | CO | |
| Cardiovascular Disease (Cardiology) | CO | |
| - | CO | |
| U R O L O G Y | CO | |
| - | CO |
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