Individual provider Active NPI

Jessica Bolden, FNP

  • Primary Care Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1144754680
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
20768 Issued in SC
Practice address
801 E Greenville St
Anderson, SC 29621-4070
Phone
(864) 512-7550
Fax
(864) 512-7448
NPI assigned
Apr 11, 2017
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 20768 SC Primary

Addresses

Primary practice location

801 E Greenville St
Anderson, SC 29621-4070

Mailing address

PO Box 100174
Columbia, SC 29202-3174
Phone (864) 512-7550

Other practice location 1

895 Tiger Blvd
Clemson, SC 29631-1480
Phone (864) 512-7257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20170703001404 SC Practitioner - Nurse Practitioner 9335418565 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anmed HealthGroup PAC ID 1951215243, shared by 12 NPIs, 348 clinicians

Practice addresses (Care Compare)

1100 W Franklin St
Anderson, SC 29624-2012
Phone (864) 224-0822

331 Antreville Hwy
Iva, SC 29655-9548
Phone (864) 512-4088

600 N Fant St
Anderson, SC 29621-5704
Phone (864) 512-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20768SCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Current Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince May 1, 2017 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince Jun 27, 2017 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince May 1, 2017 Accepting new patients
Anmed Health CurrentSince Nov 26, 2017 Accepting new patients
Anmed Health Past Accepting new patients

Locations

109 Montgomery Dr
Anderson, SC 29621
Phone (803) 224-5700

1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

600 N Fant St
Anderson, SC 29621
Phone (864) 512-1787

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

801 E Greenville St
Anderson, SC 29621
Phone (864) 261-8000

895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

21 S Shirley Ave
Honea Path, SC 29654
Phone (864) 369-0552

331 Antreville Hwy
Iva, SC 29655
Phone (864) 348-6122

16 Roberts Blvd
Williamston, SC 29697
Phone (864) 512-5800

Interoperability endpoints

  • Direct secure messaging: jbolden11275@direct.anmedhealth.net

Organizations & group practices 10

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1144754680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100174",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023174",
            "telephone_number": "864-512-7550",
            "fax_number": "864-512-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214070",
            "telephone_number": "864-512-7550",
            "fax_number": "864-512-7448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "895 Tiger Blvd",
            "address_purpose": "LOCATION",
            "city": "Clemson",
            "state": "SC",
            "postal_code": "296311480",
            "country_code": "US",
            "telephone_number": "864-512-7257",
            "fax_number": "864-654-7672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLDEN",
        "first_name": "JESSICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "20768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.