Vanessa Bollers, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN264666 Issued in GA

Practice address

512 Dasheill LN
Atlanta, GA 30349-1728

Phone

(732) 710-8152

NPI assigned

Jan 26, 2024

Sex

Female

Sole proprietor

Yes

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 GA

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 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fusioncare LLCGroup PAC ID 6406362037, 7 clinicians

Empowering Healthcare ServicesGroup PAC ID 0143601708, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GEEIDD/Endpoint/GEEIDD

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.

• Empowering Healthcare Services

  • Clinical Social Worker
  • Douglasville, GA
  • NPI 1316682552

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Fusioncare LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Alpharetta, GA
  • NPI 1972496057
  Medicare reassignment Care Compare group NPD
• Vavel Mental Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1225951148
  NPD (past) Authorized official

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1124880950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 DASHEILL LN",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303491728",
            "telephone_number": "732-710-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 DASHEILL LN",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303491728",
            "telephone_number": "732-710-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLERS",
        "first_name": "VANESSA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN264666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Bolen, MD
• Rebecca Bolen
• Cyncere Boles, CAREGIVER
• Yvonne Bolin, M.S., CCC-SLP
• Lauren Bolle, N.P.
• Vanajakshi Bollineni, M.D.
• Peyton Bolling
• Britni Bolstad, DNP, MN, RN, PHN
• Bolt Eye Group, LLC
• Jenna Bolt

• Psychiatric/Mental Health Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.