Melanie Shevonne Bolen, DNP, APRN-CNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

125425 Issued in AR

Practice address

1600 W Holland Ave
White Hall, AR 71602-9241

Phone

(870) 619-4451

NPI assigned

Aug 3, 2020

Last updated

Jun 7, 2024By the provider in NPPES

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 AR

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Pain Centers, LTDGroup PAC ID 7012987845, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melanie.bolen@arcare.directbygreenway.com

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.

• Arkansas Pain Centers, LTD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • N Little Rock, AR
  • NPI 1811984099
  Medicare reassignment Care Compare group NPD
• Arcare

  • Federally Qualified Health Center (FQHC)
  • Augusta, AR
  • NPI 1275635542
  NPD
• Arcare

  dba ARcare97

  • Federally Qualified Health Center (FQHC)
  • Jacksonville, AR
  • NPI 1821802729
  NPD
• Arkansas Pain Centers LTD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Little Rock, AR
  • NPI 1548896798
  NPD
• Arcare

  dba ARcare 70

  • Federally Qualified Health Center (FQHC)
  • Brinkley, AR
  • NPI 1669433363
  NPD (past)

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1376153544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534",
            "fax_number": "870-347-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W HOLLAND AVE",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716029241",
            "telephone_number": "870-619-4451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 Dollarway Rd Ste 116",
            "address_purpose": "LOCATION",
            "city": "White Hall",
            "state": "AR",
            "postal_code": "716023023",
            "country_code": "US",
            "telephone_number": "702-477-0888",
            "fax_number": "870-247-7089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLEN",
        "first_name": "MELANIE",
        "middle_name": "SHEVONNE",
        "credential": "DNP, APRN-CNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "125425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Aud, NP-C
• Steven Barnett, MHPP
• BHC Pinnacle Pointe Hospital, Inc. (The Pointe Outpatient Behavioral Health Services)
• Makaylah Blackston, PLMSW
• Jennifer Bland
• Amy Booker, LPC
• Terry Lynn Boone, DDS,MS
• Cassinda Braden, COTAL
• Carriell Brown, MHPP
• Elishia Brown, LMSW

• Family Nurse Practitioner in White Hall, AR
• Providers in White Hall, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.