VICKI K BOLTON (ARNP) – Physician Assistant, NPI 1811928187
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for VICKI K BOLTON (ARNP)
1415 N HOUK RD STE A
SPOKANE VALLEY, WA 992161043
Phone: (509) 924-1990
Fax: (509) 232-3059
Type: Mailing
1415 N Houk Rd Ste A
Spokane Valley, WA 992161043
Phone: (509) 924-1990
Fax: (509) 232-3059
Type: Location
4400 NE HALSEY ST BLDG 23
PORTLAND, OR 972131545
Phone: (888) 227-3312
Type: Location
12315 N Division St
Spokane, WA 992181951
Phone: (509) 466-7461
Fax: (509) 227-7070
Type: Location
PO BOX 3229
PORTLAND, OR 972083229
Phone:
Type: Mailing
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: 2007-05-29
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 |
|---|---|---|---|---|
| I20070529000317 | I | Nurse Practitioner | WA | 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 99216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| - | OR | |
| Physician Assistant | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| - | MT | |
| Physician Assistant | WA |
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