Michelle Diane Bolz, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP014123 Issued in PA

Practice address

788 Washington Rd
Pittsburgh, PA 15228-2021

Phone

(412) 307-4609

Fax

(888) 878-3824

NPI assigned

Oct 24, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, WV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24009/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellbe Senior Medical Group of Pennsylvania PC

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1255089132

  PA

  Medicare reassignment NPD
• Carelon Medical Partners, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1124443403

  WV

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1003211665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COMMERCE ST",
            "address_2": "SUITE 700",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011826",
            "telephone_number": "615-627-2265",
            "fax_number": "888-494-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 WASHINGTON RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152282021",
            "telephone_number": "412-307-4609",
            "fax_number": "888-878-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLZ",
        "first_name": "MICHELLE",
        "middle_name": "DIANE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Beth Bolt, DPT
• Teri Ann Bolte, PHD
• Karen Ann Boltey, CRNP
• Kinsley Bolton
• Robert James Bolton III, MS
• Maura Danielle Bon
• Adam John Bonacci
• Christina Bonaccorsi
• Peter Maximo Bonadio, MD
• John Paul Bonamer

• All providers in Pittsburgh, PA
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.