Individual provider Active NPI

Sonja Jeanne Bolling, APRN, FNP-C

  • Family Nurse Practitioner
  • Garden City, MO
National Provider Identifier
1396150496
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2014016882 Issued in MO
Practice address
82 South State Route F
Garden City, MO 64747-8125
Phone
(816) 680-2252
Fax
(816) 897-4570
NPI assigned
Jun 26, 2014
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2014018662 MO
Family Nurse Practitioner 363LF0000X 2014016882 MO Primary

Addresses

Primary practice location

82 South State Route F
Garden City, MO 64747-8125

Mailing address

23415 S Shaffer Rd
Harrisonville, MO 64701-4061
Phone (209) 352-1881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20140930002347 MO Practitioner - Nurse Practitioner 8921228685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

82 S State Route F
Devoe Smith Free Healthcare Clinic
Garden City, MO 64747-8185
Phone (816) 680-2252

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014018662MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Devoe Smith Medical Foundation CurrentSince Apr 24, 2024 Accepting new patients

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, 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": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1396150496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23415 S SHAFFER RD",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647014061",
            "telephone_number": "209-352-1881",
            "fax_number": "816-897-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 SOUTH STATE ROUTE F",
            "city": "GARDEN CITY",
            "state": "MO",
            "postal_code": "647478125",
            "telephone_number": "816-680-2252",
            "fax_number": "816-897-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLING",
        "first_name": "SONJA",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014018662",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014016882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MO

Sources for this page

Verify at the official NPI Registry.