Amy Michelle Bolen, FNP-C - Medicare Nurse Practitioner in Dayton, OH

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Amy Michelle Bolen, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Dayton, Ohio. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Legacy Healthcare Services Inc, Weller Health Transitions and her current practice location is 601 S Edwin C Moses Blvd, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 734-8333.

Amy Michelle Bolen is licensed to practice in Ohio (license number APRN.CNP.019339) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821441833.

Contact Information

Amy Michelle Bolen, FNP-C
601 S Edwin C Moses Blvd,
Dayton, OH 45417-3424
(937) 734-8333
Not Available

Map and Direction




Provider's Profile

Full NameAmy Michelle Bolen
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location601 S Edwin C Moses Blvd, Dayton, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amy Michelle Bolen graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1821441833
  • Provider Enumeration Date: 07/14/2016
  • Last Update Date: 07/14/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0446547053
  • Enrollment ID: I20160926001974

Medical Identifiers

Medical identifiers for Amy Michelle Bolen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821441833NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.019339 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Healthcare Services Inc21633397223341
Weller Health Transitions25677710417

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amy Michelle Bolen allows following entities to bill medicare on her behalf.
Entity NameWeller Health Transitions
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922475151
PECOS PAC ID: 2567771041
Enrollment ID: O20151023000661
Entity NamePai Participant 1 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093371312
PECOS PAC ID: 8123351954
Enrollment ID: O20200402000312

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Michelle Bolen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amy Michelle Bolen, FNP-C
4025 Montezuma Pl,
Kettering, OH 45440-1125

Ph: (937) 901-8832		Amy Michelle Bolen, FNP-C
601 S Edwin C Moses Blvd,
Dayton, OH 45417-3424

Ph: (937) 734-8333

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.