James Wade Bolton, DC, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Cookeville, TN
NPI 1477559649 · NPPES record last updated May 27, 2022
Key facts
- NPI
- 1477559649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 24437 (TN)
- Practice address
- 340 N Cedar Ave
Cookeville, TN 38501-2421 - Phone
- (931) 783-5353
- Fax
- (931) 783-4994
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 36
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Campbell Clinic, PC
Crossroads Urgent Care PLLC
Cookeville Regional Medical Group Inc
Total Extended Care Services PC
Practice addresses (Care Compare)
105 S Willow Ave
Cookeville, TN 38501-4667
Phone (931) 526-9518
1802 N Jackson St
Tullahoma, TN 37388-8237
Phone (931) 563-5501
2445 Memorial Blvd
Murfreesboro, TN 37129-5156
Phone (615) 217-6900
340 N Cedar Ave
Cookeville, TN 38501-2421
Phone (931) 783-5353
616 W Forest Ave
Jackson, TN 38301-3902
Phone (731) 574-3000
650 S Jefferson Ave
Cookeville, TN 38501-4022
Phone (931) 303-0958
Hospital & facility affiliations
- Cookeville Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 40.99 of 100
- Quality
- 58.34
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 78.29
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.09 of 100
- Quality
- 50.47
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 67.33
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190102001919 | TN | Practitioner - Nurse Practitioner | 4385743822 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2108 | TN | MD | Professional Counselor |
| 208311 | TN | MD | Registered Nurse |
| 24437 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Urgent Care PLLC | Family | Current |
Accepting new patients |
| Crossroads Urgent Care PLLC | Family | Current |
Accepting new patients |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Campbell Clinic PC | Current |
Accepting new patients | |
| Cookeville Regional Medical Group, Inc | Current |
Accepting new patients | |
| Campbell Clinic, PC | Current |
Accepting new patients | |
| Campbell Clinic | Past | Accepting new patients | |
| Dornbier Enterprise Inc | Chiropractor | Past |
Accepting new patients |
Locations
1900 W Poplar Ave
Collierville, TN 38017
Phone (901) 759-5491
105 S Willow Ave
Cookeville, TN 38501
Phone (931) 372-7716
650 S Jefferson Ave
Ste 101
Cookeville, TN 38501
Phone (931) 303-0958
100 W 4th St
Ste 350
Cookeville, TN 38501
Phone (931) 646-2901
140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582
340 N Cedar Ave
Cookeville, TN 38501
Phone (931) 528-6496
335 W Spring St
Cookeville, TN 38501
Phone (931) 303-0446
35 Taylor Ave
Crossville, TN 38555
Phone (865) 483-8478
1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111
2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900
2412 Lebanon Pike
Nashville, TN 37214
Phone (615) 647-3578
Interoperability endpoints
- james.bolton.1@1366.direct.athenahealth.com
- james.bolton.1@10383.direct.athenahealth.com
- https://api.platform.athenahealth.com/1366/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2108 | TN | |
| Rehabilitation Chiropractor | 111NR0400X | 2108 | TN | |
| Registered Nurse | 163W00000X | 208311 | TN | |
| Primary Care Nurse Practitioner | 363LP2300X | 24437 | TN | |
| Family Nurse Practitioner | 363LF0000X | 24437 | TN | Yes |
Addresses
Primary practice location
340 N Cedar Ave
Cookeville, TN 38501-2421
Mailing address
140 W 7TH St
Cookeville, TN 38501-1726
Phone (931) 783-5582
Other practice location 1
260 W 5th St
Cookeville, TN 38501-1754
Phone (931) 432-5849
Other practice location 2
315 N Washington Ave Ste 190
Cookeville, TN 38501-5984
Phone (931) 520-8104
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24437 | Other | TN | ADVANCED PRACTICE REGISTERED NURSE |
Other providers in Cookeville, TN
- Kyndell Boehms
- Barry Boggs
- Leslie Bohn
- Sarah N Boles
- Brooke Boling
- Tracy Bolton
- Zea Bonilla
- Boonphiphop Boonpheng
- Shamya Booth
- Neda Borhani
All providers in Cookeville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.