Individual provider Active NPI

Margo Bolander

  • Family Nurse Practitioner
  • Grass Valley, CA
National Provider Identifier
1386091361
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003839 Issued in CA
Practice address
11270 Rough and Ready Hwy
Grass Valley, CA 95945-8530
Phone
(530) 272-5739
NPI assigned
May 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95003839 CA Primary

Addresses

Primary practice location

11270 Rough and Ready Hwy
Grass Valley, CA 95945-8530

Mailing address

11270 Rough and Ready Hwy
Grass Valley, CA 95945-8530
Phone (530) 272-5739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20161020001930 CA Practitioner - Nurse Practitioner 6305124637 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Hematology and Oncology Medical Centers CurrentSince Jun 23, 2020 Accepting new patients

Locations

6555 Coyle Ave
Ste 301
Carmichael, CA 95608
Phone (916) 961-0258

1580 Creekside Dr
Ste 230
Folsom, CA 95630
Phone (916) 984-6230

Interoperability endpoints

  • Direct secure messaging: margo.bolander@sierrahemonc.ikm.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1386091361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11270 ROUGH AND READY HWY",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959458530",
            "telephone_number": "530-272-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11270 ROUGH AND READY HWY",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959458530",
            "telephone_number": "530-272-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANDER",
        "first_name": "MARGO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.