Laura Bolen, - Medicare Nurse Practitioner in Kendallville, IN

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Laura Bolen, is a medicare enrolled "Nurse Practitioner" in Kendallville, Indiana. Her current practice location is 512 Professional Way, Kendallville, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 347-8556.

Laura Bolen is licensed to practice in Indiana (license number 71007911A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558879379.

Contact Information

Laura Bolen,
512 Professional Way,
Kendallville, IN 46755-2927
(260) 347-8556
(260) 347-8557

Map and Direction




Provider's Profile

Full NameLaura Bolen
GenderFemale
SpecialityNurse Practitioner
Location512 Professional Way, Kendallville, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558879379
  • Provider Enumeration Date: 01/15/2018
  • Last Update Date: 10/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5193089951
  • Enrollment ID: I20180502000533

Medical Identifiers

Medical identifiers for Laura Bolen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558879379NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 28194100A (Indiana)Secondary
363L00000XNurse Practitioner 71007911A (Indiana)Primary

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. Laura Bolen allows following entities to bill medicare on her behalf.
Entity NameParkview Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932130952
PECOS PAC ID: 2163336967
Enrollment ID: O20031117000288
Entity NameParkview Wabash Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891176590
PECOS PAC ID: 0244553360
Enrollment ID: O20181128002503

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. Laura 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
Laura Bolen,
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701

Ph: () -		Laura Bolen,
512 Professional Way,
Kendallville, IN 46755-2927

Ph: (260) 347-8556

Reviews and Comments


Nurse Practitioner Nurses in Kendallville, IN

Mrs. Elizabeth Anne Mysliwiec, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1732 W North St, Kendallville, IN 46755
Phone: 260-544-8054    Fax: 260-544-8055
Alissa Anglemyer, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 610 N Sawyer Rd, Kendallville, IN 46755
Phone: 918-931-0861    
Jessica R Ramer, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 326 N Sawyer Rd, Kendallville, IN 46755
Phone: 260-349-9166    Fax: 260-343-9041
Wendy J Walmsley, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 N Sawyer Rd, Kendallville, IN 46755
Phone: 260-347-8030    Fax: 260-347-8035
Lauren Kay Carlisle, APRN, MSN, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1732 W North St, Kendallville, IN 46755
Phone: 931-253-1110    
Mrs. Barbara Ann Chivers, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1844 Ida Red Rd, Kendallville, IN 46755
Phone: 260-347-8810    
Connie S. Cole, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5900 E 500 N, Kendallville, IN 46755
Phone: 260-349-8185    

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.