Shannon Eloise Bolt, ARNP - Medicare Nurse Practitioner in Yakima, WA

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Shannon Eloise Bolt, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Yakima, Washington. Her current practice location is 4209 Tieton Dr, Yakima, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 654-9810.

Shannon Eloise Bolt is licensed to practice in Washington (license number AP61369683) 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 1083006522.

Contact Information

Shannon Eloise Bolt, ARNP
4209 Tieton Dr,
Yakima, WA 98908-3377
(509) 654-9810
(509) 966-8812

Map and Direction




Provider's Profile

Full NameShannon Eloise Bolt
GenderFemale
SpecialityNurse Practitioner - Family
Location4209 Tieton Dr, Yakima, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083006522
  • Provider Enumeration Date: 02/20/2015
  • Last Update Date: 11/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6406227156
  • Enrollment ID: I20230411002151

Medical Identifiers

Medical identifiers for Shannon Eloise Bolt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083006522NPI-NPPES
AP61369683OtherWAWASHINGTON STATE DEPARTMENT OF HEALTH
RN60528267OtherWAWASHINGTON STATE DEPARTMENT OF HEALTH
F10220605OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN60528267 (Washington)Secondary
363LF0000XNurse Practitioner - Family AP61369683 (Washington)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. Shannon Eloise Bolt allows following entities to bill medicare on her behalf.
Entity NameJenatte Clark Dermatology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225601164
PECOS PAC ID: 9739583436
Enrollment ID: O20210803000677

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. Shannon Eloise Bolt 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
Shannon Eloise Bolt, ARNP
4209 Tieton Dr,
Yakima, WA 98908-3377

Ph: (509) 654-9810		Shannon Eloise Bolt, ARNP
4209 Tieton Dr,
Yakima, WA 98908-3377

Ph: (509) 654-9810

Reviews and Comments


Nurse Practitioner Nurses in Yakima, WA

Jenatte Virginia Clark, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4209 Tieton Dr Ste 102, Yakima, WA 98908
Phone: 509-654-9810    Fax: 509-966-8812
Leticia Rodriguez, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 402 S 12th Ave, Yakima, WA 98902
Phone: 509-575-0114    Fax: 509-575-0808
Krystal Leslie Weber, DNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 402 S 4th Ave, Yakima, WA 98902
Phone: 509-575-4084    
James Kendall Eakin, ARNP, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12 S 8th St, Yakima, WA 98901
Phone: 509-454-4143    Fax: 509-454-4115
Helena Laubach,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12 S 8th St, Yakima, WA 98901
Phone: 509-454-4143    
Barbara A Norman, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 402 S 4th Ave, Yakima, WA 98902
Phone: 509-575-4084    
Sonya Lovingood, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1806 W Lincoln Ave, Yakima, WA 98902
Phone: 509-452-4520    Fax: 509-452-5224

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.